Provider Demographics
NPI:1992718001
Name:FREEDMAN, LINDA (MSW, PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7141 N KEDZIE AVE APT 511
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-2823
Mailing Address - Country:US
Mailing Address - Phone:773-274-1252
Mailing Address - Fax:
Practice Address - Street 1:7141 N KEDZIE AVE APT 511
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-2823
Practice Address - Country:US
Practice Address - Phone:773-274-1252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490031031041C0700X
IL106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL934320Medicare ID - Type UnspecifiedSOCIAL WORKER