Sarah Lynne Fredericks, LCSW-R
Social Worker, Clinical in Utica, NY. Individual provider (NPI-1).
NPI number1285924423
StatusActive
Last updated in NPPESJul 16, 2025
Details
- NPI
- 1285924423
- Entity type
- Individual (NPI-1)
- Name
- Sarah Lynne Fredericks
- Credential
- LCSW-R
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2011
- Certification date
- Jul 16, 2025
- Last updated
- Jul 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 082826 | NY | Yes |
| 104100000X | Social Worker | 081945-1 | NY |
Practice location
1002 Oswego StUtica, NY 13502-5031
Phone 315-798-8868
Mailing address
1 Kellogg RdNew Hartford, NY 13413-2824
Phone 315-723-8118
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All 134 Clinical Social Worker providers in Utica · All 2,598 providers in Utica
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