Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie Fredericks, LCSW

Individual provider Clinical Social Worker · NPI 1467318691

Jamie Fredericks, LCSW is a Clinical Social Worker in Wormleysburg, Pennsylvania. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2025
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

1023 Mumma Rd Ste 200
Wormleysburg, PA 17043-1164
Phone: (717) 522-6111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW026767 (PA)

Record details

NPI number1467318691
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 31, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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