Active NPI
Mariana Freese, MSW, LISW
- Social Worker
- Cincinnati, OH
National Provider Identifier
1538548623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.1901539-SUPV
- Practice address
- 2030 Fairfax Ave
Cincinnati, OH 45207-1943 - Phone
- (513) 363-7800
- Fax
- (513) 363-7820
- NPI assigned
- May 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34008101A | IN | |
| Clinical Social Worker | 1041C0700X | I.1901539 | OH | |
| Social Worker | 104100000X | I.1901539-SUPV | OH | Primary |
Addresses
Primary practice location
2030 Fairfax Ave
Cincinnati, OH 45207-1943
Mailing address
3333 Burnet Avenue
MLC 3014
Cincinnati, OH 45229-3026
Phone (513) 636-4788
Other practice location 1
3171 N Meridian St
Indianapolis, IN 46208-4784
Phone (317) 880-0000
Other practice location 2
3333 Burnet Avenue
MLC 3014
Cincinnati, OH 45229-3026
Phone (513) 636-4788
Other names 1
- Mariana Luna
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1901539-SUPV | OH | MD | Social Worker |
| 34008101A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Fields LLC | Clinical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1538548623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVENUE",
"address_2": "MLC 3014",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4788",
"fax_number": "513-517-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 FAIRFAX AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452071943",
"telephone_number": "513-363-7800",
"fax_number": "513-363-7820"
}
],
"practiceLocations": [
{
"address_1": "3171 N Meridian St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462084784",
"country_code": "US",
"telephone_number": "317-880-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Burnet Avenue",
"address_2": "MLC 3014",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452293026",
"country_code": "US",
"telephone_number": "513-636-4788",
"fax_number": "513-517-0860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREESE",
"first_name": "MARIANA",
"name_prefix": "Mrs.",
"credential": "MSW, LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-22",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008101A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901539",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.1901539-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANA",
"last_name": "LUNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.