Active NPI
Laura Freeman
- Social Worker
- Cambridge, MA
National Provider Identifier
1396055802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 349 Broadway
Cambridge, MA 02139-1715 - Phone
- (857) 998-7096
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Social Worker | 104100000X | MA 02139-1715 | MA |
Addresses
Primary practice location
349 Broadway
Cambridge, MA 02139-1715
Mailing address
454 Broadway
Revere, MA 02151-3034
Phone (781) 485-8222
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 02139-1715 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1396055802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 BROADWAY",
"city": "REVERE",
"state": "MA",
"postal_code": "021513034",
"telephone_number": "781-485-8222",
"fax_number": "781-485-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 BROADWAY",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021391715",
"telephone_number": "857-998-7096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "LAURA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-18",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "MA 02139-1715",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.