| Andrew Todd Freeman, LCSW, LCASA | |
|
5306 Nc Highway 55 Ste 105, Durham, NC 27713-7812 | |
| (919) 457-1517 | |
| (919) 363-7697 |
| Full Name | Andrew Todd Freeman |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 5306 Nc Highway 55 Ste 105, Durham, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356745590 | NPI | - | NPPES |
| 1356745590 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-24867 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C012215 (North Carolina) | Primary |
| Entity Name | Duke University Affiliated Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642 |
| Entity Name | Caldwell Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477839108 PECOS PAC ID: 5395646970 Enrollment ID: O20040116000355 |
| Entity Name | Wakemed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194907717 PECOS PAC ID: 7315937612 Enrollment ID: O20040722000418 |
| Entity Name | Daymark Recovery Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213 |
| Entity Name | Senior Health And Education Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205237245 PECOS PAC ID: 8729304290 Enrollment ID: O20150226002113 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Todd Freeman, LCSW, LCASA 5306 Nc Highway 55 Ste 105, Durham, NC 27713-7812 Ph: (919) 457-1517 | Andrew Todd Freeman, LCSW, LCASA 5306 Nc Highway 55 Ste 105, Durham, NC 27713-7812 Ph: (919) 457-1517 |