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

Mrs. Shelby D Fredericks

Individual provider Clinical Social Worker · NPI 1477229201

Mrs. Shelby D Fredericks is a Clinical Social Worker in Lockport, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
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Practice location Address checks out

16108 Weber Rd
Lockport, IL 60441-6542
Phone: (815) 685-7627
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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 149.022584 (IL)

Record details

NPI number1477229201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 20, 2021
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021

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