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General NPI Number Information
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NPI Number | 1366855397
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Entity Type | Individual
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Provider Name | YOLANDA MARIA FREDERICK LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 06/06/2014
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 706 PAREV WAY
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-1632
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Country | US
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Telephone | 202-253-9722
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Fax |
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Provider Business Mailing Address
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Address Line | 12530 FAIRWOOD PARKWAY SUITE 102 #573
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City | BOWIE
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State | MD
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Zip | 20720
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Country | US
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Telephone | 202-641-3748
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14390
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904013406
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50080180
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License Number State | DC
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