Kristine Lee Fredericksdorf
NPI 1679075865ActiveIndividual· Social Worker· Cherry Hill, NJ
Opted out of Medicare from June 2024 to June 2028. Social Worker in Cherry Hill, New Jersey, licensed in NJ, with an NPI issued in March 2018.
Overview
| NPI | 1679075865 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 2, 2018 |
| Last updated in NPPES | Mar 2, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 44SL06327200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (DE) |
|---|---|
| Opt-out | Opted out Jun 4, 2024 – Jun 4, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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All 69 social workers in Cherry Hill · All social workers in New Jersey