Provider Demographics
NPI:1366855397
Name:FREDERICK, YOLANDA MARIA (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:MARIA
Last Name:FREDERICK
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12530 FAIRWOOD PARKWAY
Mailing Address - Street 2:SUITE 102 #573
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720
Mailing Address - Country:US
Mailing Address - Phone:202-641-3748
Mailing Address - Fax:
Practice Address - Street 1:706 PAREV WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1632
Practice Address - Country:US
Practice Address - Phone:202-253-9722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD143901041C0700X
VA09040134061041C0700X
DCLC500801801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical