Stacey Fredericks, LCSW
NPI 1912617721 · Clinical Social Worker · East Hampton, NY
Stacey Fredericks, LCSW is a Clinical Social Worker provider in East Hampton, NY (NPI 1912617721).
Provider details
- NPI number
- 1912617721
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- R031020-1 (NY)
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
3 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
- 2022-12-02
- Last updated
- 2022-12-02
- Certified
- 2022-12-02
Frequently asked questions
- What is Stacey Fredericks's NPI number?
- Stacey Fredericks's National Provider Identifier (NPI) is 1912617721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Fredericks's specialty?
- Stacey Fredericks is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Stacey Fredericks located?
- Stacey Fredericks's practice location on file with NPPES is 132 Briar Patch Road, East Hampton, NY 11937-0242.
- What is Stacey Fredericks's phone number?
- The practice phone number listed in the NPPES registry for Stacey Fredericks is (917) 887-4646.
- Is Stacey Fredericks's NPI active?
- Yes — Stacey Fredericks's NPI (1912617721) is active in the NPPES registry as of the last update on 2022-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.