Provider Demographics
NPI:1922599836
Name:FREUDIGMANN, KAELEE MARIE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KAELEE
Middle Name:MARIE
Last Name:FREUDIGMANN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:KAELEE
Other - Middle Name:MARIE
Other - Last Name:ENGELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1217 PASHA AVE
Mailing Address - Street 2:
Mailing Address - City:MOSINEE
Mailing Address - State:WI
Mailing Address - Zip Code:54455-1907
Mailing Address - Country:US
Mailing Address - Phone:715-551-8257
Mailing Address - Fax:
Practice Address - Street 1:4601 CAMP PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-1572
Practice Address - Country:US
Practice Address - Phone:715-848-5022
Practice Address - Fax:888-778-6750
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-25
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI131033-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker