Miriam Chor Freitas, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIRIAM CHOR FREITAS, INC.

Doing business as

Miriam Chor Freitas, LCSW

Practice address

12929 Pomerado Rd
Poway, CA 92064-5325

Phone

(858) 842-0234

NPI assigned

Mar 16, 2022

Organization subpart

No

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

Authorized official

Name

Miriam Chor Freitas, LCSWNPI 1962955666

Title

Owner/Clinician

Phone

(858) 842-0234

Specialties & licenses 1

Addresses

Other names 1

• Miriam Chor Freitas, LCSW Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miriam Chor Freitas, L.C.S.W.

  • Clinical Social Worker
  • Poway, CA
  • NPI 1962955666
  NPD Authorized official

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651881600000",
    "number": "1790433928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 CREEK PARK DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12929 POMERADO RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645325",
            "telephone_number": "858-842-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM CHOR FREITAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A",
        "authorized_official_last_name": "CHOR FREITAS",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "858-842-0234",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "miriam@miriamchorfreitas.com",
            "affiliation": "N",
            "address_1": "12915 Creek Park Dr",
            "city": "Poway",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920645762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Miriam Chor Freitas, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Poway, CA
• Providers in Poway, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; 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.