IndividualActive
Amanda Frederick, MSW, LCSW
NPI 1770632556 · Clinical Social Worker · Cabool, MO
Provider details
- NPI number
- 1770632556
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2005027056 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
12581 Dallas Lane
Cabool, MO 65689
Phone: (417) 926-8054
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 714
Cabool, MO 65689-0714
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.