Individual provider Active NPI

Brittany Freese

  • Clinical Social Worker
  • Mentor, OH
National Provider Identifier
1548667033
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1500908 Issued in OH
Practice address
7232 Justin Way
Mentor, OH 44060-4881
Phone
(440) 578-8200
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1500908 OH Primary
Clinical Social Worker 1041C0700X 082475 NY

Addresses

Primary practice location

7232 Justin Way
Mentor, OH 44060-4881

Mailing address

3100 E 45TH St Ste 232
Cleveland, OH 44127-1091
Phone (216) 633-6281

Other practice location 1

3100E 45TH St 232
Cleveland, OH 44127-1091
Phone (216) 633-6281

Other practice location 2

2173 N Ridge Rd E
Lorain, OH 44055-3400
Phone (440) 260-8300

Other practice location 3

6140 S Broadway
Lorain, OH 44053-3821
Phone (440) 233-7232

Other identifiers 1

IdentifierTypeStateIssuer
0154997MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160304001876 OH Practitioner - Clinical Social Worker 5193021962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3100 E 45TH St
Suite 232
Cleveland, OH 44127-1091
Phone (216) 633-6281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082475NYMDClinical Social Worker
I.1500908OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Counseling Services, LLC Clinical CurrentSince Oct 1, 2015 Accepting new patients

Locations

3100 E 45th St
Ste 232
Cleveland, OH 44127
Phone (216) 633-6281

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": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1548667033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E 45TH ST STE 232",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271091",
            "telephone_number": "216-633-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7232 JUSTIN WAY",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604881",
            "telephone_number": "440-578-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100E 45TH ST 232",
            "address_purpose": "LOCATION",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271091",
            "country_code": "US",
            "telephone_number": "216-633-6281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2173 N Ridge Rd E",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440553400",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6140 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440533821",
            "country_code": "US",
            "telephone_number": "440-233-7232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREESE",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500908",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082475",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154997",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.