Healthcare Provider Details

I. General information

NPI: 1548667033
Provider Name (Legal Business Name): BRITTANY FREESE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2014
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20525 CENTER RIDGE RD STE 611
ROCKY RIVER OH
44116-3424
US

IV. Provider business mailing address

3100 E 45TH ST STE 232
CLEVELAND OH
44127-1091
US

V. Phone/Fax

Practice location:
  • Phone: 216-633-6281
  • Fax:
Mailing address:
  • Phone: 216-633-6281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number082475
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.1500908
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: