Christian Ellis Frederick, LCSW, CCM
NPI 1356658108 · Clinical Social Worker · San Diego, CA
Christian Ellis Frederick, LCSW, CCM is a Clinical Social Worker provider in San Diego, CA (NPI 1356658108).
Provider details
- NPI number
- 1356658108
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, CCM
- Sex
- Female
- Sole proprietor
- No
- License
- 34005465A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-08-31
- Last updated
- 2010-08-31
Frequently asked questions
- What is Christian Ellis Frederick's NPI number?
- Christian Ellis Frederick's National Provider Identifier (NPI) is 1356658108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Christian Ellis Frederick's specialty?
- Christian Ellis Frederick is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Christian Ellis Frederick located?
- Christian Ellis Frederick's practice location on file with NPPES is 4715 Viewridge Ave Ste 110, San Diego, CA 92123-1680.
- What is Christian Ellis Frederick's phone number?
- The practice phone number listed in the NPPES registry for Christian Ellis Frederick is (800) 257-8715.
- Is Christian Ellis Frederick's NPI active?
- Yes — Christian Ellis Frederick's NPI (1356658108) is active in the NPPES registry as of the last update on 2010-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.