Provider Demographics
NPI:1174691984
Name:ALLEGRETTI-FREEMAN, LUCILLE ANNE (LCSW-R)
Entity type:Individual
Prefix:
First Name:LUCILLE
Middle Name:ANNE
Last Name:ALLEGRETTI-FREEMAN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ROBIN DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12186-5212
Mailing Address - Country:US
Mailing Address - Phone:518-765-2307
Mailing Address - Fax:
Practice Address - Street 1:274 DELAWARE AVE STE 200
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-1436
Practice Address - Country:US
Practice Address - Phone:518-427-5004
Practice Address - Fax:518-432-5750
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0709051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical