Jamie Fredericks, LCSW is a
Social Worker - Clinical based in Wormleysburg, Pennsylvania. Jamie Fredericks is licensed to practice in Pennsylvania (license number CW026767) and her current practice location is
1023 Mumma Rd Ste 200, Wormleysburg, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(717) 522-6111.
NPI number for Jamie Fredericks is 1467318691 and her current mailing address is 1828 Pebble Ct, Harrisburg, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467318691.
Healthcare Provider's Profile
| Full Name | Jamie Fredericks |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1023 Mumma Rd Ste 200, Wormleysburg, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467318691
- Provider Enumeration Date: 12/31/2025
- Last Update Date: 12/31/2025
Medical Identifiers
Medical identifiers for Jamie Fredericks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467318691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | CW026767 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamie Fredericks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jamie Fredericks, LCSW 1828 Pebble Ct, Harrisburg, PA 17110-8905 Ph: () - | Jamie Fredericks, LCSW 1023 Mumma Rd Ste 200, Wormleysburg, PA 17043-1164 Ph: (717) 522-6111 |
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