Freda S. Hardaway, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.011251 Issued in IL

Practice address

849 Maple Ave
Suite 905
Homewood, IL 60430-2066

Phone

(708) 799-5862

NPI assigned

Jan 2, 2012

Last updated

Jan 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Earnest Webb, PC

  • Community/Behavioral Health Agency
  • Homewood, IL
  • NPI 1669602744
  NPD (past)

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1154691582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 MAPLE AVE",
            "address_2": "SUITE 905",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302066",
            "telephone_number": "708-799-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 MAPLE AVE",
            "address_2": "SUITE 905",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302066",
            "telephone_number": "708-799-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDAWAY",
        "first_name": "FREDA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imtiaz Hamid, MD
• Jason L Hamilton
• Jevita Renee' Hamilton, LCSW
• Laquita Hanson
• Alex Haralampopoulos, D.M.D.
• Clarreesa Hardin, PHARRM D.
• Jerne Hardy
• Nina Cherone Hardy, DPT
• Andrea Harris
• Dion Harris

• Clinical Social Worker in Homewood, IL
• Providers in Homewood, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.