Individual provider Active NPI

Jane Louise Freudenberger

  • Clinical Social Worker
  • Lake Charles, LA
National Provider Identifier
1639617962
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4684 Issued in LA
Practice address
748 Bayou Pines East Dr Ste B
Lake Charles, LA 70601-7596
Phone
(225) 405-5928
Fax
(337) 214-1836
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4684 LA Primary

Addresses

Primary practice location

748 Bayou Pines East Dr Ste B
Lake Charles, LA 70601-7596

Mailing address

2424 Luke St
Lake Charles, LA 70605-5197
Phone (225) 405-5928

Other practice location 1

600 Cypress St
Sulphur, LA 70663-5052
Phone (337) 564-6765

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

LicenseStateTypeSpecialty
4684LAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639617962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 LUKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055197",
            "telephone_number": "225-405-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 BAYOU PINES EAST DR STE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017596",
            "telephone_number": "225-405-5928",
            "fax_number": "337-214-1836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Cypress St",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706635052",
            "country_code": "US",
            "telephone_number": "337-564-6765",
            "fax_number": "337-477-5488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREUDENBERGER",
        "first_name": "JANE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.