MEDICARE: KRISTIN JO FREDERIKSEN L.M.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	52555	TX

General Provider Information

NPI Number	:	1891130878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN JO FREDERIKSEN L.M.S.W.

Provider Business Mailing Address
First Line	:	5554 AMISTAD ST
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76137-5365
Country	:	US
Telephone Number	:	512-785-0685
Fax Number	:

Provider Business Practice Location Address
First Line	:	5554 AMISTAD ST
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76137-5365
Country	:	US
Telephone Number	:	512-785-0685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2013
Last Update Date	:	05/06/2013

Similar Medicare Providers

1437479193 — MS. JENNIFER E BULLARD MA, LPC
Practice Location Address:

5554 AMISTAD ST
FORT WORTH, TX
76137-5365

Practice Phone: 817-291-3843
Practice Fax:

1053520536 — MS. KEIKO JONES PTA
Practice Location Address:

5365 WONDER DR
FORT WORTH, TX
76133-1936

Practice Phone: 617-660-8181
Practice Fax:

1639661838 — CAREY ANNE DINER RN
Practice Location Address:

5365 ROYAL BIRKDALE DR
FORT WORTH, TX
76135-1408

Practice Phone: 682-225-9329
Practice Fax:

1336797455 — MERCEDEZ SHANTELLE MIYOSHI RAINEY RN
Practice Location Address:

8608 FAWN HILL CT
FORT WORTH, TX
76134-5365

Practice Phone: 937-789-9449
Practice Fax:

1609644095 — VELOCITY NEURO TECH
Practice Location Address:

4364 WESTERN CENTER BLVD # 207
FT WORTH, TX
76137-2043

Practice Phone: 214-390-7697
Practice Fax: 817-887-1905

1275301665 — VELOCITY NEURO PRO
Practice Location Address:

4364 WESTERN CENTER BLVD # 207
FT WORTH, TX
76137-2043

Practice Phone: 214-390-7697
Practice Fax: 817-887-1905

Directions to “ KRISTIN JO FREDERIKSEN L.M.S.W.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.