Provider Demographics
NPI:1457526675
Name:FREED, PAULETTE (MSW LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PAULETTE
Middle Name:
Last Name:FREED
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:PAULETTE
Other - Middle Name:
Other - Last Name:KLEINHAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3180 LAKESHORE DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657
Mailing Address - Country:US
Mailing Address - Phone:312-404-3203
Mailing Address - Fax:
Practice Address - Street 1:8 SOUTH MICHIGAN AVE
Practice Address - Street 2:FAMILY INSTITUTE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603
Practice Address - Country:US
Practice Address - Phone:312-404-3203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490033981041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical