Provider Demographics
NPI:1174683627
Name:FRECKMAN, DOTTIE F (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DOTTIE
Middle Name:F
Last Name:FRECKMAN
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 1:3354 PERIMETER HILL DR
Mailing Address - Street 2:SUITE 320
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211
Mailing Address - Country:US
Mailing Address - Phone:615-331-3221
Mailing Address - Fax:615-331-0378
Practice Address - Street 1:3354 PERIMETER HILL DR
Practice Address - Street 2:SUITE 320
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211
Practice Address - Country:US
Practice Address - Phone:615-331-3221
Practice Address - Fax:615-331-0378
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNLSW3844OtherTN BOARD OF SOCIAL WORK
TN3926918Medicare ID - Type Unspecified