Active NPI
Elaine Dorothy Freedman, MSW, LICSW
- Clinical Social Worker
- Wellesley, MA
National Provider Identifier
1508959867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 100933
- Practice address
- 20 Bobolink Rd
Wellesley, MA 02481-3537 - Phone
- (781) 235-7990
- Fax
- (781) 235-3151
- NPI assigned
- Oct 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 100933 | MA | Primary |
Addresses
Primary practice location
20 Bobolink Rd
Wellesley, MA 02481-3537
Mailing address
20 Bobolink Rd
Wellesley, MA 02481-3537
Phone (781) 235-7990
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 682896 | Other | MA | TUFTS ASSOCIATED HEALTH |
| 2189454 | Other | MA | CIGNA INSURANCE COMPANY |
| 356767 | Other | MA | MAGELLAN |
| P01276 | Other | MA | BLUE CROSS/BLUE SHIELD |
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 |
|---|---|---|---|
| 100933 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counseling Psychologist
- Woburn, MA
- NPI 1205617370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1508959867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BOBOLINK RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024813537",
"telephone_number": "781-235-7990",
"fax_number": "781-235-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BOBOLINK RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024813537",
"telephone_number": "781-235-7990",
"fax_number": "781-235-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "ELAINE",
"middle_name": "DOROTHY",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-01",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "100933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS ASSOCIATED HEALTH",
"identifier": "682896",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INSURANCE COMPANY",
"identifier": "2189454",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "356767",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "P01276",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.