Healthcare Provider Details

I. General information

NPI: 1669948592
Provider Name (Legal Business Name): MADELINE FREEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2018
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 GREAT RD
ACTON MA
01720-5777
US

IV. Provider business mailing address

7 PROSPECT ST
ACTON MA
01720-3620
US

V. Phone/Fax

Practice location:
  • Phone: 857-229-2852
  • Fax:
Mailing address:
  • Phone: 857-229-2852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number224284
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: