Provider Demographics
NPI:1811489370
Name:FREUDENBERGER, PETER JOHN (LCSW, LCSW-C)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:JOHN
Last Name:FREUDENBERGER
Suffix:
Gender:M
Credentials:LCSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9841 WASHINGTONIAN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-7350
Mailing Address - Country:US
Mailing Address - Phone:240-813-9841
Mailing Address - Fax:240-844-0102
Practice Address - Street 1:9841 WASHINGTONIAN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-7350
Practice Address - Country:US
Practice Address - Phone:240-813-9841
Practice Address - Fax:240-813-9841
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD287121041C0700X
PACW0195851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical