Provider Demographics
NPI:1366549099
Name:FREEMAN, CLYDE CHRISTINA (LMSW, MA)
Entity type:Individual
Prefix:MS
First Name:CLYDE
Middle Name:CHRISTINA
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LMSW, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5181 PRESERVE PKWY N
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2151
Mailing Address - Country:US
Mailing Address - Phone:303-748-3876
Mailing Address - Fax:
Practice Address - Street 1:5181 PRESERVE PKWY N
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80121-2151
Practice Address - Country:US
Practice Address - Phone:303-748-3876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0347701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical