Provider Demographics
NPI:1407053820
Name:FREEMAN, JENNIFER REMI (LC SW)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:REMI
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LC SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 S FIELDSTONE CT
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5711
Mailing Address - Country:US
Mailing Address - Phone:215-740-4201
Mailing Address - Fax:
Practice Address - Street 1:281 S FIELDSTONE CT
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5711
Practice Address - Country:US
Practice Address - Phone:215-740-4201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW012568L101YP2500X, 106H00000X
PACW0169131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA450539269OtherEIN