Individual provider Active NPI

Tanesha K. Freeman, LCSW

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1457587552
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007992 Issued in CT
Practice address
42 Lake Avenue Ext # 311
Danbury, CT 06811-5279
Phone
(203) 559-5194
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007992 CT Primary
Clinical Social Worker 1041C0700X 0904013832 VA

Addresses

Primary practice location

42 Lake Avenue Ext # 311
Danbury, CT 06811-5279

Mailing address

42 Lake Avenue Ext # 311
Danbury, CT 06811-5279
Phone (203) 559-5194

Other identifiers 1

IdentifierTypeStateIssuer
071961-1OtherNYNY LICENSE

Other names 1

  • Tanesha K. Freeman-Kerr Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180905000789 CT Practitioner - Clinical Social Worker 7810247350 Practice locations: Danbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

42 Lake Ave Ext
Suite 311
Danbury, CT 06811-5279
Phone (203) 559-5194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7992CTMDMental Health Counselor
007992CTMDClinical Social Worker
0904013832VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1457587552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LAKE AVENUE EXT # 311",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115279",
            "telephone_number": "203-559-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LAKE AVENUE EXT # 311",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115279",
            "telephone_number": "203-559-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "TANESHA",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007992",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "071961-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANESHA",
            "last_name": "FREEMAN-KERR",
            "middle_name": "K.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.