Active NPI
Jamille Freed, LICSW
- Clinical Social Worker
- Wellesley, MA
National Provider Identifier
1205159902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111084
- Practice address
- 572 Washington St
Suite 14
Wellesley, MA 02482-6418 - Phone
- (617) 596-3281
- NPI assigned
- Mar 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111084 | MA | Primary |
Addresses
Primary practice location
572 Washington St
Suite 14
Wellesley, MA 02482-6418
Mailing address
32 Orris St
Auburndale, MA 02466-1312
Phone (617) 596-3281
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
| License | State | Type | Specialty |
|---|---|---|---|
| 111084 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1205159902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 ORRIS ST",
"city": "AUBURNDALE",
"state": "MA",
"postal_code": "024661312",
"telephone_number": "617-596-3281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 WASHINGTON ST",
"address_2": "SUITE 14",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024826418",
"telephone_number": "617-596-3281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "JAMILLE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
- Maria Theresa Wachendorf Fradinho, MD
- Ashley Sierra Francis
- Mark I. Frankel, MD, PHD
- Alana Ivy Franklin, M.D.
- Elizabeth Pegg Frates, M.D.
- Elaine Dorothy Freedman, MSW, LICSW
- Dorothy Virginia Freeman, M.D.
- Margaret Jane Freilich, PSY.D.
- Sandra L French
- Fresenius Medical Care Wellesley, LLC (Fresenius Kidney Care Wellesley)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.