Provider Demographics
NPI:1336250612
Name:FREDERICK, ANNA PIERCE (MSSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:PIERCE
Last Name:FREDERICK
Suffix:
Gender:F
Credentials:MSSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 WOODMERE WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-2102
Mailing Address - Country:US
Mailing Address - Phone:484-319-5407
Mailing Address - Fax:
Practice Address - Street 1:1200 ATWATER DR STE 130
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-8782
Practice Address - Country:US
Practice Address - Phone:610-646-1851
Practice Address - Fax:484-355-5181
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0154951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical