Individual provider Active NPI

Lydia J Freeman, LCSW

  • Clinical Social Worker
  • Gainesville, VA
National Provider Identifier
1356040323
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904019544 Issued in VA
Practice address
7001 Heritage Village PLZ Ste 255
Gainesville, VA 20155-3096
Phone
(703) 712-1409
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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 0904019544 VA Primary

Addresses

Primary practice location

7001 Heritage Village PLZ Ste 255
Gainesville, VA 20155-3096

Mailing address

7001 Heritage Village PLZ Ste 255
Gainesville, VA 20155-3096
Phone (703) 712-1409

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

LicenseStateTypeSpecialty
0904019544VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Associates in Psychiatry PC Mental Health CurrentSince Mar 5, 2023 Accepting new patients

Locations

24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472

Organizations & group practices 1

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1356040323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 HERITAGE VILLAGE PLZ STE 255",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553096",
            "telephone_number": "703-712-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 HERITAGE VILLAGE PLZ STE 255",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553096",
            "telephone_number": "703-712-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "LYDIA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.