Provider Demographics
NPI:1740994912
Name:FREEDMAN, RACHAEL (LMSW)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1738 W ROSCOE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-7850
Mailing Address - Country:US
Mailing Address - Phone:734-418-8252
Mailing Address - Fax:734-228-4898
Practice Address - Street 1:223 BRIDGE ST STE E
Practice Address - Street 2:
Practice Address - City:CHARLEVOIX
Practice Address - State:MI
Practice Address - Zip Code:49720-1400
Practice Address - Country:US
Practice Address - Phone:734-418-8252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011196571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical