npidata.org Sign in
Products
Provider RadarWatch an area and specialty — weekly alerts on new cliniciansPractice RadarWeekly alerts when new organisations register nearbySpecialtiesEvery NUCC taxonomy, with counts by state and cityStatesProvider counts and breakdowns for all 50 statesPhysician listsMDs and DOs with addresses and phone numbersNP listsNurse practitioners, the fastest-growing groupAPIJSON, delta feed, free tier
Use cases
Healthcare sales prospectingPhysician recruiting and locum staffingMedical device sales territory planningCredentialing and provider verificationHealthcare marketing lists and audience buildingPharmaceutical sales and prescriber targeting
Account
Start freeThree radars and an export a month Sign in Pricing
Explore
Data Labs API
About
About usTermsPrivacyContact us

Search › New Jersey › 1041C0700X

Tracy Fredericks, LCSW, MSW

NPI 1831851674 · on the registry since 2021 · sole proprietor

Practice

Address
4 South Orange Avenue
Pmb #258
South Orange, NJ 07079
Phone
(973) 255-9188
Organisation at this address
Idama Healthcare
Spectrum Health And Wellness, Llc
Learning For Life Development Center, Llc
Endometriosis And Advanced Pelvic Surgical Specialists, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey