Individual provider Active NPI

Breena Freid, LCSW

  • Clinical Social Worker
  • Skokie, IL
National Provider Identifier
1285751602
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5225 Old Orchard Rd
Suite 1
Skokie, IL 60077-4405
Phone
(847) 757-7711
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

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 IL Primary

Addresses

Primary practice location

5225 Old Orchard Rd
Suite 1
Skokie, IL 60077-4405

Mailing address

2846 W Morse Ave
Chicago, IL 60645-2930
Phone (847) 757-7711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110221000289 IL Practitioner - Clinical Social Worker 8729269055 Practice locations: Skokie, IL; Chicago, IL; Lincolnwood, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5225 Old Orchard Rd
Suite 6
Skokie, IL 60077-1027
Phone (847) 757-7711

7101 N Cicero Ave
Suite 203
Lincolnwood, IL 60712-2144
Phone (847) 757-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Zemanick MD SC PastSince Jan 1, 2012 Accepting new patients
Gisele Smith PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285751602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 W MORSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452930",
            "telephone_number": "847-757-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 OLD ORCHARD RD",
            "address_2": "SUITE 1",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774405",
            "telephone_number": "847-757-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREID",
        "first_name": "BREENA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.