Individual provider Active NPI

Eileen Freiberg-Dale, LICSW

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1407948698
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100362 Issued in MA
Practice address
44 Mechanic St Ste 212
Newton, MA 02464-1476
Phone
(617) 795-1869
Fax
(617) 244-0260
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 100362 MA Primary

Addresses

Primary practice location

44 Mechanic St Ste 212
Newton, MA 02464-1476

Mailing address

68 Carl St
Newton, MA 02461-1906
Phone (617) 795-1869

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

LicenseStateTypeSpecialty
100362MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Freiberg- Dale Associates Past Accepting new patients
Freiberg- Dale Associates Past Accepting new patients

Organizations & group practices 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407948698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CARL ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611906",
            "telephone_number": "617-795-1869",
            "fax_number": "617-244-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MECHANIC ST STE 212",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641476",
            "telephone_number": "617-795-1869",
            "fax_number": "617-244-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIBERG-DALE",
        "first_name": "EILEEN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "100362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.