Dr. Tasha Michelle Frederick, LISW-CP
Dr. Tasha Michelle Frederick, LISW-CP is a Clinical Social Worker in North Charleston, South Carolina. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1999, 27 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 27
- Trained at
- Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
- Licensed in
- SC
- In the registry since
- 2007
Practice location Address checks out
3255 Landmark Dr Bldg 200North Charleston, SC 29418-8461
Phone: (843) 534-1527
Fax: (843) 989-0427
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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 9309 (SC) |
|---|
Record details
| NPI number | 1215132733 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LISW-CP |
| Sole proprietor | No |
| NPI enumerated | June 15, 2007 |
| Last updated in NPPES | April 27, 2026 |
| Certification date | April 27, 2026 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY |
| Graduated | 1999 (27 years in practice) |
| Group practice | Sondermind Provider Network Llc — 1258 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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Katherine Dupre, LISW-CP
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MS. Jenna Fabrizio, LCSW
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Julia Grimm, LISW-CP
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Mary Beth Halliday, LISW-CP
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