Individual provider Active NPI

Evangeline E Freathy, MSW

  • Clinical Social Worker
  • Elk Grove, CA
National Provider Identifier
1073835633
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127656 Issued in CA
Practice address
9512 Nicole LN
Elk Grove, CA 95758-3629
Phone
(916) 718-0794
NPI assigned
Feb 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 127656 CA Primary

Addresses

Primary practice location

9512 Nicole LN
Elk Grove, CA 95758-3629

Mailing address

744 P St
Sacramento, CA 95814-6400
Phone (916) 585-4106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
127656CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1073835633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 P ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958146400",
            "telephone_number": "916-585-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9512 NICOLE LN",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583629",
            "telephone_number": "916-718-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREATHY",
        "first_name": "EVANGELINE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "127656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.