BROOKELYNN MAE FREED


Address: 712 S Main St, Joplin, MO 64801-4502
Phone: 4176210373

BROOKELYNN MAE FREED (NPI# 1124631882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124631882
Entity Type Individual
Full Name BROOKELYNN MAE FREED
Credential LMSW, MSW, BSW
Practice Address 712 S Main St
Joplin
MO 64801-4502
Practice Telephone 4176210373
Mailing Telephone 4176210373
Enumeration Date 2020-08-24
Last Update Date 2020-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 2020022699 MO Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
2020022699 MO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO MASTER OF SOCIAL WORK LICENSE 2020022699 01

Office Location

Street Address 712 S MAIN ST
City JOPLIN
State MO
Zip Code 64801-4502

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235747783 Chelsea Marie Wilson Speech-Language Pathologist Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 2020-07-21
1639669807 Cassandra Lee Williams Speech-Language Pathologist 310 W 8th Street, Joplin, MO 64801 2018-05-14
1427593177 Healthone Labs LLC Clinical Medical Laboratory 101 N Rangline Rd, 304, Joplin, MO 64801 2017-01-04
1902253768 Options Outpaitent Counseling Service Counselor 1515 W 10th St., Suite E, Joplin, MO 64801 2016-05-20
1467833871 Regan Gass Nurse Practitioner 2912 West 16th Street, Joplin, MO 64801 2015-06-11
1881091171 Pamela Ann Younger Dental Hygienist 530 S Maiden Lane, Joplin, MO 64801 2014-12-02
1588908065 Amy Maria Manrique Counselor 301 E. Virginia Street, Joplin, MO 64801 2012-11-21
1356612329 Ideal Care Clinical Services, LLC Pharmacy 5898 North Main, Suite 109, Joplin, MO 64801 2012-01-23
1124256037 Nathalie Grace Canete Husain Physical Therapist Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 2009-06-30
1912162447 David Odinga Egessah Occupational Therapist 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 2008-07-24
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790141042 Teressa Kay Berry Social Worker 1837 S Cleveland Ct, Joplin, MO 64804-0104 2016-01-01
1366822645 Jennifer Lee Myers Social Worker 3901 E. 32nd Street, Joplin, MO 64804-1509 2015-06-02
1144626920 Amy Stevens Social Worker 512 E 32nd St, Suite 103, Joplin, MO 64804-3920 2014-11-06
1942560297 Angela L Brower Social Worker 3605 N Main St, Joplin, MO 64801-7665 2012-05-21
1154569911 Laura L Westley Social Worker 1820 W 30th St, Apt. 100, Joplin, MO 64804-1520 2009-01-31
1447882550 Morgan L Woods Social Worker 1800 W 30th St, Joplin, MO 64804-1520 2020-02-06
1952954414 Haley R George Social Worker 1949 Snowberry Ln, Joplin, MO 64804-5420 2019-07-23
1508419813 Lindsey Kay Fisher Social Worker 302 S Joplin Ave, Joplin, MO 64801-2334 2019-07-17
1477110633 Jenna L Myers Social Worker 3901 E 32nd St, Joplin, MO 64804-3312 2019-05-23
1396227468 Benjamin P Livesay Social Worker 305 S Virginia Ave, Joplin, MO 64801-2323 2018-09-05
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Competitor

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City JOPLIN
Zip Code 64801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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