Active NPI
Freedom Home Inc.
- Clinical Social Worker
- Port Saint Lucie, FL
National Provider Identifier
1518324722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10997
- Legal business name
- FREEDOM HOME INC.
- Practice address
- 2702 SE Export Ave
Port Saint Lucie, FL 34952-7228 - Phone
- (772) 626-2321
- NPI assigned
- Jan 19, 2016
- Last updated
- Jan 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Santiago, LCSW
- Title
- President
- Phone
- (772) 626-2321
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW10997 | FL | |
| Clinical Social Worker | 1041C0700X | SW10997 | FL | Primary |
Addresses
Primary practice location
2702 SE Export Ave
Port Saint Lucie, FL 34952-7228
Mailing address
2702 SE Export Ave
Port Saint Lucie, FL 34952-7228
Phone (772) 626-2321
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Port Saint Lucie, FL
- NPI 1578865895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453161600000",
"number": "1518324722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 SE EXPORT AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349527228",
"telephone_number": "772-626-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 SE EXPORT AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349527228",
"telephone_number": "772-626-2321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM HOME INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-626-2321",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW10997",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW10997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
- Francy J Arciniegas DMD PSL PA (America Dentistry PSL)
- Suzanne Marie Frank, PTA
- Rashawn Nathaniel Omari Fraser
- Sarah Frazier, ARNP
- Junette Frazil
- Tyree Jamil Freeman I
- Penelope Freseman, PA-C
- Fresenius Medical Care Comprehensive CKD Services Inc (CKD Services of Pt. St. Lucie)
- Abraham Frias, PT
- Lyle R Fried, CAP, ICADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.