| Janice S Fredericks, LCSW | |
|
919 Medical Park Dr, Mountain City, TN 37683-1042 | |
| (423) 282-1480 | |
| (423) 928-1353 |
| Full Name | Janice S Fredericks |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 919 Medical Park Dr, Mountain City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538185129 | NPI | - | NPPES |
| 3699273 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW0000003418 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Janice S Fredericks, LCSW 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 Ph: (423) 282-1480 | Janice S Fredericks, LCSW 919 Medical Park Dr, Mountain City, TN 37683-1042 Ph: (423) 282-1480 |
Ms. Theresa D Crotty, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1263 Harbin Hill Rd, Mountain City, TN 37683 Phone: 423-373-5536 | |
Sarah W Campbell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1901 S Shady St, Mountain City, TN 37683 Phone: 423-727-2235 Fax: 423-727-1129 |