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

Individual provider Clinical Social Worker · NPI 1447020557

Krystal Ann Fredrick, APSW is a Clinical Social Worker in Jefferson, Wisconsin. Qualified in 2023, 3 years ago. Practices with Jefferson County, a 20-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2024
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Practice location Address checks out

1541 Annex Rd
Jefferson, WI 53549-9803
Phone: (920) 674-3105
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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 134354 (WI)

Record details

NPI number1447020557
Entity typeIndividual (Type 1)
GenderFemale
Credentials APSW
Sole proprietorNo
NPI enumeratedJanuary 9, 2024
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Jefferson County — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jefferson