Mathew Freimuth

Key facts

NPI

1043033301

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

CSW03893 (RI)

Practice address

800 Clinton St
Woonsocket, RI 02895-3245

Phone

(401) 235-7000

Fax

(401) 767-9177

NPI assigned

Nov 5, 2024

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Care Alliance Community/Behavioral Health Agency · Woonsocket, RI · NPI 1437191061
  Medicare reassignment Care Compare group NPD RI

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Boston University School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Care Alliance (30 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 5, 2024.

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1043033301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1700",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028950856",
            "telephone_number": "401-235-7000",
            "fax_number": "401-767-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CLINTON ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953245",
            "telephone_number": "401-235-7000",
            "fax_number": "401-767-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIMUTH",
        "first_name": "MATHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Woonsocket, RI · Clinical Social Worker in Rhode Island