Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mick Fredrickson, LCSW

Clinical Social Worker in Albany, OR · enumerated 2012 · practices at Reclaim Life, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104180520

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Mick Fredrickson

Credential LCSW

Sex Male

Practice address Albany, OR, 97321

Phone (541) 286-3209

Fax (541) 704-0040

Enumeration date Jun 29, 2012

Last updated in NPPES Apr 14, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License L6743 (OR) Primary

LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Other identifiers

Identifier	Type	State	Issuer
500710040	Medicaid	OR	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Mick Fredrickson's NPI record?

Cross-check NPI 1104180520 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1104180520 active?

Yes, as of the latest NPPES snapshot, NPI 1104180520 is active (record last updated 2021-04-14).

Other providers at this practice address

Browse all →

Barrylee Coyne Mental Health Counselor · Albany, OR NPI 1003942327 Michelle La Casse Counselor · Albany, OR NPI 1407348667 Reclaim Life, LLC Clinical Social Worker · Albany, OR NPI 1043788896 Deanna Dowlin Mental Health Counselor · Albany, OR NPI 1386219905 John Gilbert Mental Health Counselor · Albany, OR NPI 1467187799 Christina Bass Mental Health Counselor · Albany, OR NPI 1598460321 Connie Smith-Wells Mental Health Counselor · Albany, OR NPI 1144091976

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-14.