MEDICARE: ZOE FREEMAN LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LW61521701	WA

General Provider Information

NPI Number	:	1255900627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOE FREEMAN LICSW

Provider Business Mailing Address
First Line	:	5608 17TH AVE NW STE 1870
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5232
Country	:	US
Telephone Number	:	206-745-0521
Fax Number	:	206-745-0526

Provider Business Practice Location Address
First Line	:	5608 17TH AVE NW STE 1870
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5232
Country	:	US
Telephone Number	:	206-745-0521
Fax Number	:	206-745-0526

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	07/02/2025

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