Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104180520 Individual Practitioner Male Practitioner

Mick Fredrickson , LCSW

Social Worker - Clinical • Albany, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mick Fredrickson, LCSW is a certified Social Worker - Clinical practicing in Albany, OR. With approximately 21 years of clinical experience since completing medical education in 2005, Mick Fredrickson delivers high-quality medical care to the local community at 425 2ND AVE SW STE 102.

Mick Fredrickson is affiliated with Reclaim Life Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

425 2nd Ave Sw Ste 102

Albany, OR 973212483

Telephone 5412863209
Fax 5417040040
Associated Practice Facility / Clinic
🏢 Reclaim Life, Llc Facility NPI 1043788896

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Albany, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +2.4 yrs vs City Avg
City Avg: 18.6 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
57 Specialists

Practicing in Albany, OR (5148 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
33.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fredrickson (21 Years) 21 Yrs
Albany Specialty Average (18.6 Years) 18.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
69 11 $127.17 $75.50
90837 Psychotherapy, 60 minutes
53 11 $154.72 $111.49

Medical Specialties & State Licenses

CMS Verified: 2021-04-14
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OR L6743

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500710040 (OR)

Hospital & Practice Group Affiliations

Reclaim Life Llc

425 2nd Ave Sw, Albany, OR 973212483

Phone: 5412863209

Secondary Practice Locations

425 2nd Ave Sw Ste 101d

Albany, OR 973212483

Phone: 5412208223

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Barrylee Coyne , LCSW

Counselor - Mental Health

NPI 1003942327

Licensed Clinical Social Worker

Connie Smith-Wells , MSW

Counselor - Mental Health

NPI 1144091976

Master of Social Work

Deanna Dowlin

Counselor - Mental Health

NPI 1386219905
NPI 1407348667

Licensed Professional Counselor

John Gilbert , MS

Counselor - Mental Health

NPI 1467187799

Master of Science

Christina Bass

Counselor - Mental Health

NPI 1598460321

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address April 14, 2021

Registered at 425 2ND AVE SW STE 102, ALBANY, OR 973212483 (Tel: 5412863209)

📍
Updated Practice Location April 12, 2020

Registered at 425 2ND AVE SW STE 102, ALBANY, OR 973212483 (Tel: 5412863209)

📍
Updated Practice Location May 01, 2019

Registered at 425 2ND AVE SW STE 101D, ALBANY, OR 973212483 (Tel: 5412208223)

📍
Updated Business Mailing Address May 01, 2019

Registered at 3065 25TH AVE SE, ALBANY, OR 973228812 (Tel: 5412208223)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2019

Social Worker (License #L6743 in OR)

NPI Profile Active June 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2012

Registered at 601 N. PECOS, LAS VEGAS, NV 89101 (Tel: 7024555288)

📍
Updated Business Mailing Address June 29, 2012

Registered at 601 N. PECOS, LAS VEGAS, NV 89101 (Tel: 7024555288)

👤
Provider Name / Credentials Updated June 29, 2012

Recorded as MICK FREDRICKSON, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2012

Social Worker (License #5750-C in NV)

🟢
Initial NPI Registration & Enumeration June 29, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mick Fredrickson. Be the first to share your experience!

Sign in to leave a review for Mick Fredrickson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104180520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2012
Last Update: April 14, 2021
Sole Proprietor: Yes

Mailing Address

425 2nd Ave Sw Ste 102

Albany, OR 973212483

Phone: 5412863209

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.