Individual provider Active NPI

Caroline Stallings Freedenberg, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1366964876
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080574 Issued in DC
Practice address
2001 Massachusetts Ave NW
Washington, DC 20036-1011
Phone
(703) 923-8965
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29634 MD
Clinical Social Worker 1041C0700X 090415353 VA
Clinical Social Worker 1041C0700X LC50080574 DC Primary

Addresses

Primary practice location

2001 Massachusetts Ave NW
Washington, DC 20036-1011

Mailing address

1487 Chain Bridge Rd Ste 204
MC Lean, VA 22101-5723
Phone (703) 923-8965

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
LC50080574DCMDClinical Social Worker
090415353VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hopeandwellness LLC Current Accepting new patients
Hopeandwellness LLC Current Accepting new patients
Dallas Independent School District Clinical Past Accepting new patients

Locations

1487 Chain Bridge Rd
Ste 204
Mc Lean, VA 22101
Phone (703) 923-8965

Organizations & group practices 3

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1366964876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 CHAIN BRIDGE RD STE 204",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015723",
            "telephone_number": "703-923-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MASSACHUSETTS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361011",
            "telephone_number": "703-923-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDENBERG",
        "first_name": "CAROLINE",
        "middle_name": "STALLINGS",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "29634",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "090415353",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.