Melina Crystal Freeman, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CSW02375 Issued in RI

Practice address

100 Medway St
Providence, RI 02906-4402

Phone

(401) 421-4100

NPI assigned

Apr 16, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revidas LLC

  dba Revidas

  • Mental Health Counselor
  • Worcester, MA
  • NPI 1528410610
  Medicare reassignment
• Day One

  • Clinical Social Worker
  • Providence, RI
  • NPI 1164633038
  NPD

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1386225886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDWAY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064402",
            "telephone_number": "401-421-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDWAY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064402",
            "telephone_number": "401-421-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MELINA",
        "middle_name": "CRYSTAL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "CSW02375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine R Freedy, MD
• Trisha Sue Freel, MS, CGC
• Alyssa Lee Freeman, M.A.
• Jennifer Beth Freeman, PHD
• Lucy W Freeman, RN
• Michelle Freeman, LICSW
• Michelle A Freeman
• Nancy Jane Freeman, M.D.
• Sarah Freeman, M.D.
• Livia Freier

• Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.