Individual provider Active NPI

Constance Ann Freeman, PHD LCSW

  • Clinical Social Worker
  • Little Neck, NY
National Provider Identifier
1124137815
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R037891 Issued in NY
Practice address
45-13 Little Neck Parkway
Little Neck, NY 11362
Phone
(914) 337-8350
Fax
(914) 337-8350
NPI assigned
Aug 29, 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 R037891 NY Primary

Addresses

Primary practice location

45-13 Little Neck Parkway
Little Neck, NY 11362

Mailing address

45-13 Little Neck Parkway
Little Neck, NY 11362
Phone (914) 337-8350

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
I20091007000649 NY Practitioner - Clinical Social Worker 0446396287 Practice locations: Little Neck, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R037891NYMDClinical Social Worker
037891NYMDPhysical Therapist

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124137815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-13 LITTLE NECK PARKWAY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "914-337-8350",
            "fax_number": "914-337-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-13 LITTLE NECK PARKWAY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "914-337-8350",
            "fax_number": "914-337-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "CONSTANCE",
        "middle_name": "ANN",
        "credential": "PHD  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R037891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

Verify at the official NPI Registry.