Individual provider Active NPI

John William Allegretti-Freeman, LCSW-R

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1790876563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27530R Issued in NY
Practice address
747 Madison Ave
Albany, NY 12208-3392
Phone
(518) 427-5004
Fax
(518) 432-5750
NPI assigned
Sep 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27530R NY Primary

Addresses

Primary practice location

747 Madison Ave
Albany, NY 12208-3392

Mailing address

4 Robin Dr
Voorheesville, NY 12186-5212
Phone (518) 765-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20171226000973 NY Practitioner - Clinical Social Worker 3971803818 Practice locations: Delmar, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

274 Delaware Ave
Suite 200
Delmar, NY 12054-1436
Phone 51842750004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27530RNYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790876563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROBIN DR",
            "city": "VOORHEESVILLE",
            "state": "NY",
            "postal_code": "121865212",
            "telephone_number": "518-765-2307",
            "fax_number": "518-765-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083392",
            "telephone_number": "518-427-5004",
            "fax_number": "518-432-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEGRETTI-FREEMAN",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "27530R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.