Provider Demographics
NPI:1790124501
Name:FREEMAN, LATRICIA LYNN (LCSW)
Entity type:Individual
Prefix:MS
First Name:LATRICIA
Middle Name:LYNN
Last Name:FREEMAN
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 1:665 RICE RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-6379
Mailing Address - Country:US
Mailing Address - Phone:910-827-1207
Mailing Address - Fax:
Practice Address - Street 1:668 REV N O THOMPSON RD
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:NC
Practice Address - Zip Code:28340-8800
Practice Address - Country:US
Practice Address - Phone:910-827-1207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
C01018681041C0700X
NCP0082391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical