Active NPI
Lynn G. Freitas, L.C.S.W.
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1902849672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003075
- Practice address
- 309 S Sharon Amity Rd Ste 304
Charlotte, NC 28211-2886 - Phone
- (704) 998-0221
- Fax
- (704) 366-6464
- NPI assigned
- Jun 13, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NC | ||
| Marriage & Family Therapist | 106H00000X | NC | ||
| Clinical Social Worker | 1041C0700X | C003075 | NC | Primary |
Addresses
Primary practice location
309 S Sharon Amity Rd Ste 304
Charlotte, NC 28211-2886
Mailing address
309 S Sharon Amity Rd Ste 304
Charlotte, NC 28211-2886
Phone (704) 998-0221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11112 | Other | NC | BLUECROSS BLUESHIELDOFNC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 19, 2024 through Feb 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003075 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1902849672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 S SHARON AMITY RD STE 304",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112886",
"telephone_number": "704-998-0221",
"fax_number": "704-366-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 S SHARON AMITY RD STE 304",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112886",
"telephone_number": "704-998-0221",
"fax_number": "704-366-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREITAS",
"first_name": "LYNN",
"middle_name": "G.",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELDOFNC",
"identifier": "11112",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.