Provider Demographics
NPI:1255419537
Name:FREEDMAN, DONNA R (LCSW)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:R
Last Name:FREEDMAN
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 1:2 HAGERTY LANE
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-2736
Mailing Address - Country:US
Mailing Address - Phone:609-409-0198
Mailing Address - Fax:
Practice Address - Street 1:BRIER HILL COURT
Practice Address - Street 2:BUILDING G9
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:908-902-1388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000077001041C0700X
NYPR01525011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
061765PSYMedicare ID - Type Unspecified