Individual provider Active NPI

Gail Ruth Freundlich, LCSW

  • Clinical Social Worker
  • Mohegan Lake, NY
National Provider Identifier
1063572444
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R026210 Issued in NY
Practice address
3730 Chesterfield Drive
Mohegan Lake, NY 10547-1005
Phone
(914) 528-7946
Fax
(914) 528-7946
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R026210 NY Primary

Addresses

Primary practice location

3730 Chesterfield Drive
Mohegan Lake, NY 10547-1005

Mailing address

3730 Chesterfield Drive
Mohegan Lake, NY 10547-1005
Phone (914) 528-7946

Other identifiers 2

IdentifierTypeStateIssuer
137887OtherNYVALUE OPTIONS
7402914OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110124000328 NY Practitioner - Clinical Social Worker 9234318239 Practice locations: Mohegan Lake, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3730 Chesterfield Dr
Mohegan Lake, NY 10547-1005
Phone (914) 528-7946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R026210NYMDClinical Social Worker
026210NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063572444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 CHESTERFIELD DRIVE",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471005",
            "telephone_number": "914-528-7946",
            "fax_number": "914-528-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 CHESTERFIELD DRIVE",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471005",
            "telephone_number": "914-528-7946",
            "fax_number": "914-528-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUNDLICH",
        "first_name": "GAIL",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R026210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "137887",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7402914",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mohegan Lake, NY

Sources for this page

Verify at the official NPI Registry.