Provider Demographics
NPI:1871517680
Name:FREEMAN, JANE E (LCSW)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:E
Last Name:FREEMAN
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 1:29 STERLING DR
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-2210
Mailing Address - Country:US
Mailing Address - Phone:860-355-9233
Mailing Address - Fax:860-354-3493
Practice Address - Street 1:29 STERLING DR
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2210
Practice Address - Country:US
Practice Address - Phone:860-355-9233
Practice Address - Fax:860-354-3493
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0010051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT310290OtherMHN PROVIDER NUMBER
CTP1119046OtherOXFORD HEALTH
CT111464107OtherUNITED BEHAVIORAL HEALTH
CT165831OtherVALUE OPTIONS
CT140001005CT01OtherANTHEMBLUECROSSBLUESHIELD
CT0005021019OtherAETNA
CT140001005CT01OtherANTHEMBLUECROSSBLUESHIELD