Individual
DANIELA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
3050 RIVERWOOD PKWY STE B, GASTONIA, NC 28056-6002
(704) 874-9005
(704) 874-9001
Mailing address
200 E SECOND AVE, GASTONIA, NC 28052-4358
(704) 874-1907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017499
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104593107
04191990
SC
Enumeration date
10/13/2021
Last updated
05/11/2026
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