Active NPI
Latricia Lynn Freeman, LCSW
- Clinical Social Worker
- Fairmont, NC
National Provider Identifier
1790124501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P008239
- Practice address
- 668 Rev N O Thompson Rd
Fairmont, NC 28340-8800 - Phone
- (910) 827-1207
- NPI assigned
- Jun 14, 2013
- Last updated
- Sep 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C0101868 | ||
| Clinical Social Worker | 1041C0700X | P008239 | NC | Primary |
Addresses
Primary practice location
668 Rev N O Thompson Rd
Fairmont, NC 28340-8800
Mailing address
665 Rice Rd
Lumberton, NC 28358-6379
Phone (910) 827-1207
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P008239 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Behavioral Healthcare LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Whiteville, NC
- NPI 1184990863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1790124501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 RICE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283586379",
"telephone_number": "910-827-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 REV N O THOMPSON RD",
"city": "FAIRMONT",
"state": "NC",
"postal_code": "283408800",
"telephone_number": "910-827-1207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "LATRICIA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-14",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "C0101868",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, NC
- Fairmont Drug Company LLC (Fairmont Drug Company)
- Fairmont Eye Clinic OD PLLC
- Fairmont Opco, LLC (Greenbrier of Fairmont)
- Family Alternatives, Inc. (Family Alternatives, Inc. Group Home # 2)
- Amanda Gem Floyd
- Greenbrier LTC Inc
- Hal C Herring Jr OD PA
- Mary Lewis Hardin, HSP-PA
- Hal C Herring Jr., OD, PA
- Demetrius Jerome Hill, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.