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

Mrs. Melyssa J Frederick

Individual provider Clinical Social Worker · NPI 1114131422

Mrs. Melyssa J Frederick is a Clinical Social Worker in Ballwin, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

396 Benbow Ct
Ballwin, MO 63011-2541
Phone: (636) 207-7878
Fax: (636) 207-7869
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 005968 (MO)

Record details

NPI number1114131422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address396 Benbow Ct, Ballwin, MO 63011-2541

Other providers in Ballwin