Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christian Danyell Ellis Frederick, LCSW, CCM

Individual provider Clinical Social Worker · NPI 1356658108

Christian Danyell Ellis Frederick, LCSW, CCM is a Clinical Social Worker in San Diego, California. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4715 Viewridge Ave Ste 110
San Diego, CA 92123-1680
Phone: (800) 257-8715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34005465A (IN)

Record details

NPI number1356658108
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CCM
Sole proprietorNo
NPI enumeratedAugust 31, 2010
Last updated in NPPESAugust 31, 2010

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