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

Willard J. Frederick, LCSW

Individual provider Clinical Social Worker · NPI 1659323954

Willard J. Frederick, LCSW is a Clinical Social Worker in Muncie, Indiana. Qualified in 1975, 51 years ago. Practices with Tyrow Consulting LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
51
Licensed in
IN
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone: (765) 288-1928
Fax: (765) 741-0340
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34001033A (IN)

Record details

NPI number1659323954
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJuly 13, 2026
Certification dateMarch 4, 2020
Mailing address3645 N Briarwood Ln, Ste A, Muncie, IN 47304-5337

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Group practice Tyrow Consulting Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Muncie