Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Allen Fredrickson, LCSW-R, LIMHP

Individual provider Social Worker · NPI 1023323557

John Allen Fredrickson, LCSW-R, LIMHP is a Social Worker in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Nebraska and New York.

Licensed in
NE, NY
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

242 W 30th St Rm 602
New York, NY 10001-4954
Phone: (917) 936-7509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10250 Regency Cir Ste 500, Omaha, NE 68114-5703 — (917) 936-7509

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 081187 (NY)
Social Worker Taxonomy 104100000X · Licence 081845 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2430 (NE)

Record details

NPI number1023323557
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R , LIMHP
Sole proprietorYes
NPI enumeratedAugust 9, 2010
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020

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