ANGELA FREDRICKSON (NPI# 1689952954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689952954 |
| Entity Type | Individual |
| Full Name | ANGELA FREDRICKSON |
| Credential | LSW |
| Practice Address |
5072 W Plano Pkwy Suite 100 Plano TX 75093-4476 |
| Mailing Address |
2626 Princewood Dr Garland TX 75040-8704 |
| Practice Telephone | 9728183888 |
| Mailing Telephone | 2142356679 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 50070 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | 50070 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962539874 | Angela M Fredrickson | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2007-02-27 |
| Street Address |
5072 W PLANO PKWY SUITE 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-4476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057678 | Parkway Vista Dental Pllc | Dentist | 5072 W Plano Pkwy, Suite 250, Plano, TX 75093-4476 | 2005-07-19 |
| 1780122556 | Endodontic Associates of Plano, Pllc | Dentist | 5072 W Plano Pkwy, 270, Plano, TX 75093-4476 | 2017-02-01 |
| 1669849485 | Russell B Skinner Md Pa | Family Medicine | 5072 W Plano Pkwy, Suite 200, Plano, TX 75093-4476 | 2015-08-27 |
| 1225371461 | Kimberly Gail Holt | Dentist | 5072 W Plano Pkwy, # 180, Plano, TX 75093-4476 | 2013-04-05 |
| 1649516600 | Tony Randelle Moore | Physical Therapy Assistant | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2012-12-19 |
| 1720348527 | Riddhi Patel | Physical Therapist | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2012-05-25 |
| 1215200027 | Adam Johnson | Physical Therapy Assistant | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2012-02-10 |
| 1659648947 | Terri M Jones | Respiratory Therapist, Certified | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2011-11-30 |
| 1780970640 | Pamela Rae Fischer | Respiratory Therapist, Certified | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2011-06-20 |
| 1891084521 | Assured Comprehensive Rehab, Lp | Clinic/Center | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4483 | 2011-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487201174 | Jessica Newman | Social Worker | 720 F Ave Ste 100, Plano, TX 75074-6861 | 2019-08-19 |
| 1417448952 | Sydney Fred | Social Worker | 2301 Ohio Dr Ste 150, Plano, TX 75093-4079 | 2018-05-21 |
| 1629527163 | Michelle Jones | Social Worker | 3204 Mason Dr, Plano, TX 75025-4536 | 2016-09-26 |
| 1811376916 | Brian Meggers | Social Worker | 2268 Bunker Hill Cir, Plano, TX 75075-2922 | 2015-05-21 |
| 1821356643 | Lauren Suzanne Scott | Social Worker | 5800 Legacy Cir, #414, Plano, TX 75024-5680 | 2012-04-30 |
| 1649550559 | Laura Cohen | Social Worker | 2300 Kathryn Ln, # 1328, Plano, TX 75025-5249 | 2011-08-23 |
| 1245435833 | Jacqueline Benson | Social Worker | 6400 Windcrest Dr Apt 624, Plano, TX 75024-3054 | 2007-06-15 |
| 1437200896 | Hoda A Soliman | Social Worker | 7040 Rembrandt Dr, Plano, TX 75093-8416 | 2007-01-14 |
| 1245388578 | Amy Renee Spindel | Social Worker | 1820 Preston Park Blvd Ste 2200, Plano, TX 75093-3614 | 2007-01-05 |
| 1134775158 | Juan Israel Guerrero Quijano | Social Worker | 4031 W Plano Pkwy Ste 211, Plano, TX 75093-5627 | 2019-08-15 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.