Wanda Freeman-Abbott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

094001085 Issued in VA

Practice address

215 W Atlantic St
Emporia, VA 23847-1223

Phone

(434) 634-5181

NPI assigned

Mar 30, 2007

Last updated

Mar 20, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

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.

• Building Our Youth LLC

  • Community/Behavioral Health Agency
  • Petersburg, VA
  • NPI 1740985654
  NPD (past)
• Phipps Family Services, LLC

  • Clinical Social Worker
  • Emporia, VA
  • NPI 1275839250
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1316067655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 VINCENT DR",
            "city": "HENRICO",
            "state": "NC",
            "postal_code": "278429226",
            "telephone_number": "252-537-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W ATLANTIC ST",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471223",
            "telephone_number": "434-634-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN-ABBOTT",
        "first_name": "WANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "094001085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Choice Transportation LLC
• Adolph V Flowers, MD
• Delores C. Flowers, M.D.
• Flycatcher Inpatient Services, LLC
• Franklin Clinic Corp (Southampton Orthopaedic and Sports Medicine Center)
• From Start 2 Finish Counseling Services, Inc
• Full Circle Support LLC
• Amanda Gill, LPC
• Theopolis Gilliam Jr., MD
• Goode 2 Feet

• Clinical Social Worker in Emporia, VA
• Providers in Emporia, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.