Gary Fredericksen, LICSW
NPI 1700950557 · Clinical Social Worker · Lacey, WA
Gary Fredericksen, LICSW is a Clinical Social Worker provider in Lacey, WA (NPI 1700950557).
Provider details
- NPI number
- 1700950557
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- LW00004165 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
19 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
- 2006-11-20
- Last updated
- 2007-07-20
Frequently asked questions
- What is Gary Fredericksen's NPI number?
- Gary Fredericksen's National Provider Identifier (NPI) is 1700950557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Fredericksen's specialty?
- Gary Fredericksen is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Gary Fredericksen located?
- Gary Fredericksen's practice location on file with NPPES is 4422 6th Ave Se, Lacey, WA 98503-1020.
- What is Gary Fredericksen's phone number?
- The practice phone number listed in the NPPES registry for Gary Fredericksen is (360) 704-7170.
- Is Gary Fredericksen's NPI active?
- Yes — Gary Fredericksen's NPI (1700950557) is active in the NPPES registry as of the last update on 2007-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.