Individual
DR. TASHA MICHELLE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
3255 LANDMARK DR BLDG 200, NORTH CHARLESTON, SC 29418-8461
(843) 534-1527
(843) 989-0427
Mailing address
3255 LANDMARK DR BLDG 200, NORTH CHARLESTON, SC 29418-8461
(843) 534-1527
(843) 989-0427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149012282
IL
1041C0700X
Clinical Social Worker
2005012030
MO
1041C0700X
Clinical Social Worker
Primary
9309
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG3380
—
SC
05
—
SW1054
—
SC
Enumeration date
06/15/2007
Last updated
04/27/2026
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