IndividualActive
Andrew Frederiksen, LLBSW
NPI 1104689801 · Social Worker · Marquette, MI
Provider details
- NPI number
- 1104689801
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LLBSW
- Sex
- Male
- Sole proprietor
- No
- License
- 6852093942 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
200 W Spring St
Marquette, MI 49855-4661
Phone: (906) 225-1181
Approximate (ZIP-level) locationGet directions
Mailing address
200 W Spring St
Marquette, MI 49855-4661
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2024-02-05
- Certified
- 2024-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.