SHEILA FREEMAN LCSW
NPI 1316902232
Social Worker - Clinical in Lexington, KY

Active since April 20, 2006PECOS Enrolled
60.28/100
CMS Quality Rating
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sheila Freeman Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEILA FREEMAN LCSW (NPI 1316902232) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (1903) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1316902232
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHEILA FREEMANCredential: LCSW
Location Address1351 NEWTOWN PIKE BLDG 1Lexington, KY 40511-1277
Mailing Address1351 Newtown Pike Bldg 1Lexington, KY 40511-1277 · (859) 253-1686
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 20, 2006
Last NPPES UpdateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
NPI 1316902232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in KY · 1903
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1351 NEWTOWN PIKE BLDG 1, Lexington, KY 40511

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sheila Freeman Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113989328
PECOS Enrollment IDI20041030000243, I20170525002039
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.81
Improvement Activities40
Cost99.79

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Counselor (Mental Health)
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheila Freeman's NPI number?

The NPI number for Sheila Freeman is 1316902232. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Sheila Freeman located?

Sheila Freeman practices at 1351 Newtown Pike Bldg 1, Lexington, KY 40511. The listed phone number is (859) 253-1686.

What is Sheila Freeman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sheila Freeman enrolled in Medicare?

Yes. Sheila Freeman is registered in the Medicare PECOS enrollment system.

What insurance does Sheila Freeman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Sheila Freeman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheila Freeman was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.