Provider Demographics
NPI:1144346883
Name:FREEMAN, JUNE I (LCSW)
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:I
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 ALEXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-1679
Mailing Address - Country:US
Mailing Address - Phone:910-520-1104
Mailing Address - Fax:
Practice Address - Street 1:739 ALEXWOOD DR
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-1679
Practice Address - Country:US
Practice Address - Phone:910-520-1104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0023851041C0700X
NCC0058841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106819Medicaid
NC2852731Medicare PIN