Individual provider Active NPI

Vanessa Jan Freeman, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1285104836
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04737 Issued in MD
Practice address
4400 E West Hwy
Ste 28
Bethesda, MD 20814-4501
Phone
(301) 938-0369
Fax
(301) 657-9224
NPI assigned
Nov 27, 2018
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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 04737 MD Primary

Addresses

Primary practice location

4400 E West Hwy
Ste 28
Bethesda, MD 20814-4501

Mailing address

4400 E West Hwy
Ste 28
Bethesda, MD 20814-4501
Phone (301) 938-0369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2019 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04737MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1285104836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 E WEST HWY",
            "address_2": "STE 28",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144501",
            "telephone_number": "301-938-0369",
            "fax_number": "301-657-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E WEST HWY",
            "address_2": "STE 28",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144501",
            "telephone_number": "301-938-0369",
            "fax_number": "301-657-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "VANESSA",
        "middle_name": "JAN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.