Bette Jonas Freedson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWLC6222 Issued in ME

Practice address

88 Old South Rd
South Berwick, ME 03908-1708

Phone

(207) 384-5538

NPI assigned

Apr 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 1, 2020 through May 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Listening Place

  • Mental Health Counselor
  • Lynn, MA
  • NPI 1578735981
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1891758280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 OLD SOUTH RD",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081708",
            "telephone_number": "207-384-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 OLD SOUTH RD",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081708",
            "telephone_number": "207-384-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDSON",
        "first_name": "BETTE",
        "middle_name": "JONAS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "SWLC6222",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105610-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allen Eaton, NP, PHD
• Laneisha Emerson, M.A., BCBA
• Keri R Fernald, LCMHC
• Jessica Jane Fitzgerald, PT
• Lori Anne Ford, MSPT
• Mary Ann Gagnon, APRN
• William Justin Gilbert, PT
• Great Works Chiropractic & Wellness, PA
• Great Works Family Practice
• Great Works Family Practice

• Clinical Social Worker in South Berwick, ME
• Providers in South Berwick, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.