Provider Demographics
NPI:1205338357
Name:FREE-MULAIRE, ADRIENNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:
Last Name:FREE-MULAIRE
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 1:8 WRIGHT ST STE 107
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-3114
Mailing Address - Country:US
Mailing Address - Phone:475-544-7233
Mailing Address - Fax:
Practice Address - Street 1:8 WRIGHT ST STE 107
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3114
Practice Address - Country:US
Practice Address - Phone:475-544-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-05
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3684104100000X
CT0117791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker