Provider Demographics
NPI:1750555116
Name:FREED, ESTELLE F (LCSW)
Entity type:Individual
Prefix:MS
First Name:ESTELLE
Middle Name:F
Last Name:FREED
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ESSY
Other - Middle Name:
Other - Last Name:FREED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3 DUNWOODY PARK
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7405
Mailing Address - Country:US
Mailing Address - Phone:770-390-0444
Mailing Address - Fax:770-399-9996
Practice Address - Street 1:3 DUNWOODY PARK
Practice Address - Street 2:SUITE 103
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-7405
Practice Address - Country:US
Practice Address - Phone:770-390-0444
Practice Address - Fax:770-399-9996
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0039551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical