Active NPI
Andrew Jacob Freeman, LCSW, CSAC
- Clinical Social Worker
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8678-123
- Practice address
- 17100 W North Ave
Brookfield, WI 53005-4436 - Phone
- (262) 244-6177
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17043-130 | WI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16116-132 | WI | |
| Clinical Social Worker | 1041C0700X | 8678-123 | WI | Primary |
Addresses
Primary practice location
17100 W North Ave
Brookfield, WI 53005-4436
Mailing address
1035 W Glen Oaks LN Ste 110
Mequon, WI 53092-3392
Phone (262) 244-6177
Other practice location 1
N67W24937 Stonegate Ct Apt 104
Sussex, WI 53089-2586
Phone (262) 894-6277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16116-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 17043-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
17100 W North Ave
Ste 300
Brookfield, WI 53005
Phone (262) 244-6177
1035 W Glen Oaks Ln
Ste 110
Mequon, WI 53092
Phone (262) 240-0299
10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100
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.
-
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1710309059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 W GLEN OAKS LN STE 110",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923392",
"telephone_number": "262-244-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 W NORTH AVE",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054436",
"telephone_number": "262-244-6177"
}
],
"practiceLocations": [
{
"address_1": "N67W24937 Stonegate Ct Apt 104",
"address_purpose": "LOCATION",
"city": "Sussex",
"state": "WI",
"postal_code": "530892586",
"country_code": "US",
"telephone_number": "262-894-6277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREEMAN",
"first_name": "ANDREW",
"middle_name": "JACOB",
"name_prefix": "Mr.",
"credential": "LCSW, CSAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "17043-130",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "16116-132",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "8678-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.