Amanda Sue Frederick, MSW, LCSW in Cabool, MO - Medicare Social Worker Provider

Amanda Sue Frederick, MSW, LCSW is a medicare enrolled "Social Worker" provider in Cabool, Missouri. Her current practice location is 12581 Dallas Lane, Cabool, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 926-8054.

Amanda Sue Frederick is licensed to practice in Missouri (license number 2005027056) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770632556.

Contact Information

	Amanda Sue Frederick, MSW, LCSW
	12581 Dallas Lane, Cabool, MO 65689
	(417) 926-8054
	Not Available

Healthcare Provider's Profile

Full Name	Amanda Sue Frederick
Gender	Female
Speciality	Social Worker
Location	12581 Dallas Lane, Cabool, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770632556
Provider Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1355526534
Enrollment ID: I20150421000774

Medical Identifiers

Medical identifiers for Amanda Sue Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770632556	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2005027056 (Missouri)	Primary
104100000X	Social Worker	2005027056 (Missouri)	Primary

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. Amanda Sue Frederick 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
Amanda Sue Frederick, MSW, LCSW Po Box 714, Cabool, MO 65689-0714 Ph: (417) 926-8054	Amanda Sue Frederick, MSW, LCSW 12581 Dallas Lane, Cabool, MO 65689 Ph: (417) 926-8054

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Amanda Sue Frederick, MSW, LCSW - Medicare Clinical Social Worker in Cabool, MO