Teresa Kay Freeman, MSW MS, LCSW,LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011660 Issued in NC

Practice address

289 Olmsted Blvd
Pinehurst, NC 28374-8729

Phone

(910) 295-6007

NPI assigned

Oct 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Carolina'S Medical and Wellness ClinicGroup PAC ID 3678007093, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Carolina'S Medical & Wellness Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurinburg, NC
  • NPI 1134987100
  Medicare reassignment Care Compare group
• Greater Vision Counseling & Consulting Agency PLLC

  • Clinical Social Worker
  • Raeford, NC
  • NPI 1336661826
  Medicare reassignment NPD
• Sandhills Behavioral Care, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockingham, NC
  • NPI 1437653359
  Medicare reassignment NPD
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Charlotte, NC
  • NPI 1427823749
  NPD
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Hillsborough, NC
  • NPI 1629843933
  NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1679978159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PONDEROSA DR",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283454349",
            "telephone_number": "910-434-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 OLMSTED BLVD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748729",
            "telephone_number": "910-295-6007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Ponderosa Dr",
            "address_purpose": "LOCATION",
            "city": "Hamlet",
            "state": "NC",
            "postal_code": "283454349",
            "country_code": "US",
            "telephone_number": "910-434-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "TERESA",
        "middle_name": "KAY",
        "credential": "MSW MS, LCSW,LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "14993",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "14993",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Frank, PSYD
• Amanda Jean Fraser, PA
• Lynn Marie Fraser, M.D.
• Chad A Frazer, PA-C
• Fred T. Ridge, DDS, PA
• Eric Raymond Frizzell, M.D.
• Function in Wellness, LLC
• David M Furie, MD
• Glenn E Fusonie, MD
• Gabriele Jones, PHD, PA

• Clinical Social Worker in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.