Fearday, Frederick L

Fearday, Frederick L is an individual health care provider with primary practice located at 2804 W San Rafael St , Tampa FL 33629-6136. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fearday, Frederick L can be contacted via phone (813) 420-6696.

Contact Information

Primary practice address
2804 W San Rafael St Tampa FL 33629-6136
Phone: (813) 420-6696
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW3162 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW3162 Florida

Profile Details

NPI number 1467506097
LBN Legal business name Fearday, Frederick L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Apr 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467506097 NPPES
Florida MEDICAID 766499100
Florida MEDICAID 763999600

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