Active NPI
Suzanne Rachel Freedman, LCSW-C
- Clinical Social Worker
- Randallstown, MD
National Provider Identifier
1649542242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15244
- Practice address
- 3525 Resource Dr
Randallstown, MD 21133-4733 - Phone
- (410) 922-1900
- Fax
- (410) 922-6288
- NPI assigned
- Jan 30, 2012
- Last updated
- Jan 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15244 | MD | Primary |
Addresses
Primary practice location
3525 Resource Dr
Randallstown, MD 21133-4733
Mailing address
12076 Long Lake Dr
Owings Mills, MD 21117-1250
Phone (410) 654-8758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15244 | Other | MD | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15244 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1649542242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12076 LONG LAKE DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171250",
"telephone_number": "410-654-8758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 RESOURCE DR",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334733",
"telephone_number": "410-922-1900",
"fax_number": "410-922-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "SUZANNE",
"middle_name": "RACHEL",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-30",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "15244",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Randallstown, MD
- For Hope's Sake, LLC
- Foritda Health Solutions LLC
- Keyana Ashley Foster, MD
- Irene Foy, PMHNP-BC
- Megan Gibbons Fransman, PA-C
- Akiba Freeman, LCSW-C
- Debra Freeman, M.D.
- Fresenius Medical Care Randallstown, LLC (Fresenius Medical Care Patapsco Valley)
- Steven D Fuller, PHD DO
- Future Care Old Court, Inc. (FutureCare Old Court)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.