Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Stephen L Frederico, LCSW-R

Individual provider Clinical Social Worker · NPI 1932121373

Mr. Stephen L Frederico, LCSW-R is a Clinical Social Worker in Stony Brook, New York. Qualified in 1979, 47 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
47
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

1212 N Country Rd Ste 4B
Stony Brook, NY 11790
Phone: (631) 246-9000
Fax: (631) 689-1359
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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 PRO22599 (NY)

Record details

NPI number1932121373
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedJuly 24, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stony Brook