Jacqueline Michelle Freeman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079325-1 Issued in NY

Practice address

660 Bergen St
1C
Brooklyn, NY 11238-3579

Phone

(206) 384-1500

NPI assigned

Mar 26, 2009

Last updated

Apr 25, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1376785097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 BERGEN ST",
            "address_2": "#1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383579",
            "telephone_number": "206-384-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 BERGEN ST",
            "address_2": "1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383579",
            "telephone_number": "206-384-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JACQUELINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079325-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chana Freeman, M.S.
• Chanequa Freeman, LPN
• Claudia Alyssa Freeman, LCSW
• Cynthia Ann Freeman
• Gittie Freeman
• Kayla Freeman, LCAT-LP
• Lamont Pierre Freeman, O.D.
• Marslyn M Freeman, RN
• Muchere Lewanda Freeman
• Muriel Franchell Freeman, D.P.M.

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.