Provider Demographics
NPI:1992861587
Name:FREEMAN, EVE WEBER (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:EVE
Middle Name:WEBER
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:TAPPAN
Mailing Address - State:NY
Mailing Address - Zip Code:10983-2615
Mailing Address - Country:US
Mailing Address - Phone:917-880-7992
Mailing Address - Fax:
Practice Address - Street 1:430 E 86TH ST
Practice Address - Street 2:SUITE 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6441
Practice Address - Country:US
Practice Address - Phone:917-880-7992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0338471041C0700X
NJ44SC051747001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN5C081Medicare ID - Type Unspecified
NJ077605Medicare ID - Type Unspecified