Provider Demographics
NPI:1578107579
Name:FREEMAN-WU, MEREDITH ELISE (LCSW)
Entity type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:ELISE
Last Name:FREEMAN-WU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ASTOR PL
Mailing Address - Street 2:
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-2021
Mailing Address - Country:US
Mailing Address - Phone:973-615-0287
Mailing Address - Fax:
Practice Address - Street 1:324 BELLEVILLE AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3652
Practice Address - Country:US
Practice Address - Phone:973-866-5435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-01
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC061801001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical