Kenneth Lowell Freedman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115752 Issued in MA

Practice address

41 Popple Bottom Rd
Sandwich, MA 02563-2576

Phone

(508) 428-6254

NPI assigned

Jan 4, 2007

Last updated

Jun 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1780731539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 POPPLE BOTTOM RD",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632576",
            "telephone_number": "508-428-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 POPPLE BOTTOM RD",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632576",
            "telephone_number": "508-428-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "KENNETH",
        "middle_name": "LOWELL",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina A Florio, OTR/L, PTA
• Foot Specialists of New England PLLC (Foot Specialist of New England - Sandwich)
• Barbara Forslund
• William Bartram Fox, MD
• Fraser Rest Home of Sandwich (Cape Winds Rest Home)
• Jennifer Lynne Gaboury, RDN, LDN
• Amanda Rachel Gallugi, RN, FNP-C
• Diane Gibbons, MSED, CCC-SLP
• Steven B Gilman, MD
• Mary Grees, RPH

• Clinical Social Worker in Sandwich, MA
• Providers in Sandwich, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.