Rebecca Freddo, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111709 Issued in MA

Practice address

100 Bennett St
Lynn, MA 01905-3004

Phone

(781) 477-7460

NPI assigned

Sep 12, 2018

Last updated

Jul 27, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1932682382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROCKAWAY AVE",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019451726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BENNETT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019053004",
            "telephone_number": "781-477-7460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Rockaway Ave",
            "address_purpose": "LOCATION",
            "city": "Marblehead",
            "state": "MA",
            "postal_code": "019451726",
            "country_code": "US",
            "telephone_number": "781-913-1507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDDO",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111709",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Fournier, APRN-PMHNP
• Linda Jean Fowler, P.T.A.
• Aurora Estefani Francis, RN
• Jonangel Franco
• Judith Frank
• Casey Frederick
• Diane K Freedman, RN
• Harold L Freedman, MD
• Richard Jay Freid, LMHC
• Julieann Freitas, PNP

• Clinical Social Worker in Lynn, MA
• Providers in Lynn, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.