Individual provider Active NPI

Melissa Sue Friedman, L.C.S.W.

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1023397734
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000007050 Issued in TN
Practice address
2821 S Parker Rd Ste 165
Aurora, CO 80014-2748
Phone
(901) 305-7175
NPI assigned
Aug 11, 2011
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000007050 TN Primary

Addresses

Primary practice location

2821 S Parker Rd Ste 165
Aurora, CO 80014-2748

Mailing address

527 S Pontiac Way
Denver, CO 80224-1549
Phone (901) 305-7175

Other practice location 1

6401 Poplar Ave
316
Memphis, TN 38119-4823
Phone (901) 737-1992 ext. 103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151230002418 CO Practitioner - Clinical Social Worker 7012188899 Practice locations: Denver, CO
I20260407002051 DC Practitioner - Clinical Social Worker 7012188899 Practice locations: Silver Spring, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

705 S Belgrade Rd
Silver Spring, MD 20902-3262
Phone (901) 305-7175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000007050TNMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1023397734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 S PONTIAC WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241549",
            "telephone_number": "901-305-7175",
            "fax_number": "866-860-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 S PARKER RD STE 165",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142748",
            "telephone_number": "901-305-7175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 Poplar Ave",
            "address_2": "316",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381194823",
            "country_code": "US",
            "telephone_number": "901-737-1992 x103",
            "fax_number": "901-309-8784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000007050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.