Individual provider Active NPI

Rya M Freeland, MSW LICSW

  • Clinical Social Worker
  • Brattleboro, VT
National Provider Identifier
1316298243
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0136092 Issued in VT
Practice address
51 Fairview Street
Brattleboro, VT 05301-6629
Phone
(802) 254-6028
Fax
(802) 254-7501
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 097.0103463 VT
Clinical Social Worker 1041C0700X 089.0136092 VT Primary

Addresses

Primary practice location

51 Fairview Street
Brattleboro, VT 05301-6629

Mailing address

390 River Street
Springfield, VT 05156-2226
Phone (802) 886-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20250417000903 VT Practitioner - Clinical Social Worker 3779008206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097.0103463VTMDProfessional Counselor
089.0136092VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care and Rehabilitation Services of Southeastern Vermont, Inc. CurrentSince Feb 9, 2025 Accepting new patients
Health Care and Rehabilitation Services of Southeastern Vermont, Inc. CurrentSince Feb 9, 2025 Accepting new patients

Locations

51 Fairview St
Brattleboro, VT 05301
Phone (802) 254-6028

390 River St
Springfield, VT 05156
Phone (802) 886-4567

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": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1316298243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 RIVER STREET",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562226",
            "telephone_number": "802-886-4500",
            "fax_number": "802-886-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 FAIRVIEW STREET",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016629",
            "telephone_number": "802-254-6028",
            "fax_number": "802-254-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREELAND",
        "first_name": "RYA",
        "middle_name": "M",
        "credential": "MSW  LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VT",
            "license": "097.0103463",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0136092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.