Kevin Freeman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC22565 Issued in ME

Practice address

30 Danforth St Ste 311
Portland, ME 04101-4574

Phone

(207) 619-3356

Fax

(207) 300-6085

NPI assigned

Feb 1, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Portland Institute for Psychotherapy and Training, LLC

  • Clinical Social Worker
  • Portland, ME
  • NPI 1932607801
  NPD

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1487417416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8484",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041048484",
            "telephone_number": "207-619-3356",
            "fax_number": "207-300-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DANFORTH ST STE 311",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014574",
            "telephone_number": "207-619-3356",
            "fax_number": "207-300-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KEVIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC22565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Freeman Smith, ND
• Brandon H Freeman, DPT
• Catherine Freeman, DO
• Emma Denise Freeman, MD
• Katherine J Freeman, LMSW-CC
• Michael H Freeman, LCSW
• Eric J Frehm, MD
• Oliver T Fremont, M.D.
• Gina French, LMT
• Teegan French

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.