Ruth Ettenberg Freeman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005866 Issued in CT

Practice address

196 Davis Rd
Storrs Mansfield, CT 06268-2507

Phone

(860) 933-1371

NPI assigned

Jul 15, 2011

Last updated

Jul 15, 2011By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1548558265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 DAVIS RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682507",
            "telephone_number": "860-933-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 DAVIS RD",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062682507",
            "telephone_number": "860-933-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "RUTH",
        "middle_name": "ETTENBERG",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Dombek
• Eastern Highlands Health District
• Bruce Nicholas Elliott, PT
• C. John Ferreri, RPH
• Janelle Rae Francisco, M.S., ATC
• Jill Elizabeth Fuller, FNP-BC
• Allen Martin Goldstein, O.D.
• Catherine Griffin, PT
• Hearts and Hands Therapy Services CT, Inc.
• Morgan A Hills II, PT

• Clinical Social Worker in Storrs Mansfield, CT
• Providers in Storrs Mansfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.