MEDICARE: FREEMAN COUNSELING & PLAY THERAPY, PLLC

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

General Provider Information

NPI Number	:	1528935525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEMAN COUNSELING & PLAY THERAPY, PLLC

Provider Business Mailing Address
First Line	:	9 BRIARWYCK DR
Second Line	:
City	:	JACKSONVILLE
State	:	IL
Zip	:	62650-1779
Country	:	US
Telephone Number	:	217-666-2683
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E MORGAN ST
Second Line	:
City	:	JACKSONVILLE
State	:	IL
Zip	:	62650-2587
Country	:	US
Telephone Number	:	217-666-2683
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST, OWNER
Name	:	SARAH FREEMAN
Credential	:	LCSW, LSCSW, RPT
Telephone Number	:	217-666-2683

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	10/22/2025

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