Individual provider Active NPI

Andrea Denise Freeman, LCSW

  • Clinical Social Worker
  • Dalton, GA
National Provider Identifier
1447844063
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007428 Issued in GA
Practice address
720 S Glenwood Ave Ste 104
Dalton, GA 30721-3389
Phone
(706) 266-0880
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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 CSW007428 GA Primary

Addresses

Primary practice location

720 S Glenwood Ave Ste 104
Dalton, GA 30721-3389

Mailing address

720 S Glenwood Ave Ste 104
Dalton, GA 30721-3389
Phone (706) 266-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20230208000396 GA Practitioner - Clinical Social Worker 9234501826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Creative SolutionsGroup PAC ID 9133591712, 3 clinicians

Practice addresses (Care Compare)

517 Benjamin Way
Suite 400
Dalton, GA 30721-4659
Phone (762) 432-6759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW007428GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc PastSince Jan 4, 2023 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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1447844063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S GLENWOOD AVE STE 104",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307213389",
            "telephone_number": "706-266-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S GLENWOOD AVE STE 104",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307213389",
            "telephone_number": "706-266-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ANDREA",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2022-12-19",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.