Rebecca L Freedman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114837 Issued in MA

Practice address

4238 Washington St Ste 316
Roslindale, MA 02131-2517

Phone

(857) 273-2129

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Freedman Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Roslindale, MA
  • NPI 1710687512
  NPD Authorized official

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1174099469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 KITTREDGE ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021314139",
            "telephone_number": "161-745-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 WASHINGTON ST STE 316",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312517",
            "telephone_number": "857-273-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "114837",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vigny Fong
• Raina Foster
• Richard Seth Frank, OTR
• Maya Frankel, MA
• Freedman Counseling, LLC
• Nicole Megan French
• Mariann Fugger
• Geralde V. Gabeau
• Emily Gabrielian
• Emily Gaines, M.A.

• Clinical Social Worker in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.