Ada Freeman, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000600 Issued in NC

Practice address

2805 McLamb PL
Goldsboro, NC 27534-1647

Phone

(919) 734-2222

Fax

(919) 734-2229

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Synergy Wellness Clinic, PLLC

  • Clinical Social Worker
  • Goldsboro, NC
  • NPI 1386324622
  NPD Authorized official
• Highgate Clinic, P.a.

  • Psychiatry Physician
  • Goldsboro, NC
  • NPI 1477561181
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1902825615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1342",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275331342",
            "telephone_number": "919-734-2222",
            "fax_number": "919-734-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341647",
            "telephone_number": "919-734-2222",
            "fax_number": "919-734-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ADA",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1248P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Alan Fouss
• Jamie Foy
• Brandon Lee Frank, DC
• Laurence Davis Frederick III, M.D.
• Freeman House Inc.
• Kenneth Freeman
• Lara K. Freeman, LPC
• Tiffani Danielle Freeman
• Freemans Homecare LLC
• Kaydi Ruth Frost, DC

• Clinical Social Worker in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.