SUSAN FREDERICK (LCSW) – Clinical Social Worker, NPI 1851707731

SUSAN FREDERICK (LCSW) is a healthcare provider. based in Lithia, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW3278 (FL). The NPI Number for SUSAN FREDERICK (LCSW) is 1851707731

Main info

Female
Accepts Medicare Assignment
Name
SUSAN FREDERICK (LCSW)
NPI
1851707731
Phone
(813) 610-2984
Address
5702 WATERCOLOR DR
Enumeration Date
11 July 2014
Last Update Date
8 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3478307720
Graduation Year
null (2026 years ago)
PAC ID
0648498212
Group Practice PAC ID
1355741083
Professional Enrollment ID
I20140822001064
Address ID
FL341033028NA4933XNXXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for SUSAN FREDERICK (LCSW)

  • 5702 WATERCOLOR DR

    LITHIA, FL 335474118

    Phone: (813) 610-2984

    Type: Location

  • 5106 WHISPERING LEAF TRL

    VALRICO, FL 335967945

    Phone: (813) 610-8398

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140822001064IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes1,51580$0
90837Psychotherapy, 1 hour26823$0
90791Psychiatric diagnostic evaluation1515$0
View full utilization report →

Insurance plans in this area (ZIP 33547)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355741083View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Mental Health CounselorGA
Mental Health CounselorTX
Psychiatry, Nephrology, Neurology, NeuropsychiatryGA
Physician AssistantFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Mental Health CounselorGA
Mental Health CounselorGA
Mental Health CounselorMD

Reviews

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Frequently asked questions

Is there an official ID for SUSAN FREDERICK (LCSW) in U.S. healthcare records?
The official identifier for SUSAN FREDERICK (LCSW) is NPI 1851707731.
Is SUSAN FREDERICK (LCSW) still an active registrant?
SUSAN FREDERICK (LCSW) carries an active NPI according to the public dataset.
What expertise is attributed to SUSAN FREDERICK (LCSW)?
SUSAN FREDERICK (LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with SUSAN FREDERICK (LCSW)?
Directory geography for SUSAN FREDERICK (LCSW) centers on Lithia, Florida.
When was this NPI issued?
Enumeration for SUSAN FREDERICK (LCSW) is noted as July 11, 2014 where the registry provides it.

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