Individual
MRS. JESSICA MARIA FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3520 W 92ND AVE, WESTMINSTER, CO 80031-3303
(720) 303-3131
Mailing address
192 ASH CIR, ERIE, CO 80516-6041
(720) 303-3131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
088402
NY
1041C0700X
Clinical Social Worker
Primary
CSW.09928750
CO
Other
Enumeration date
11/30/2022
Last updated
11/19/2025
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