Ms Paulette Fredericks, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mount Laurel, New Jersey. She graduated from healthcare school in 1999 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Caring Counselors Inc and her current practice location is
20000 Horizon Way Ste 120, Mount Laurel, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 269-0019.
Ms Paulette Fredericks is licensed to practice in New Jersey (license number 44SC055226600) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629103551.
Healthcare Provider's Profile
| Full Name | Ms Paulette Fredericks |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | 20000 Horizon Way Ste 120, Mount Laurel, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Paulette Fredericks graduated from medical school in 1999
NPI Data:
- NPI Number: 1629103551
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 11/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496199143
- Enrollment ID: I20240221001621
Medical Identifiers
Medical identifiers for Ms Paulette Fredericks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629103551 | NPI | - | NPPES |
| 0053643 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | 44SC05226600 (New Jersey) | Secondary |
| 251S00000X | Community/behavioral Health | (New Jersey) | Secondary |
| 251S00000X | Community/behavioral Health | 44SC05226600 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC055226600 (New Jersey) | Primary |
| 101YM0800X | Counselor - Mental Health | 44SC05226600 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Caring Counselors Inc | 4587008230 | 4 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Paulette Fredericks allows following entities to bill medicare on her behalf.
| Entity Name | Caring Counselors Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770360356
PECOS PAC ID: 4587008230
Enrollment ID: O20240221001450 |
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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. Ms Paulette Fredericks is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Paulette Fredericks, MSW, LCSW
20000 Horizon Way Ste 120,
Mount Laurel, NJ 08054-4303
Ph: (856) 269-0019 | Ms Paulette Fredericks, MSW, LCSW
20000 Horizon Way Ste 120,
Mount Laurel, NJ 08054-4303
Ph: (856) 269-0019 |
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