IndividualActive
Amy Fredericks
NPI 1053715920 · Social Worker · Santa Fe, NM
Provider details
- NPI number
- 1053715920
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- M-07517 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
490b W Zia Rd
Suite 4
Santa Fe, NM 87505-7008
Phone: (505) 913-3820
Fax: (505) 913-3829
Approximate (ZIP-level) locationGet directions
Mailing address
490b W Zia Rd
Santa Fe, NM 87505-7008
Registry dates
- Enumerated
- 2014-10-21
- Last updated
- 2014-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.