Active NPI
Dorothy Paulette Fried, LCSW
- Clinical Social Worker
- Floral Park, NY
National Provider Identifier
1073598959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0300491
- Practice address
- 174 Jericho Tpke
Floral Park, NY 11001-2024 - Phone
- (516) 775-4258
- Fax
- (516) 671-5437
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0300491 | NY | Primary |
Addresses
Primary practice location
174 Jericho Tpke
Floral Park, NY 11001-2024
Mailing address
294 Prospect Ave
Sea Cliff, NY 11579-1026
Phone (516) 676-1599
Other names 1
- Mrs. Dorothy Paulette Goldstein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0300491 | NY | MD | Clinical Social Worker |
| 030049 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073598959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 PROSPECT AVE",
"city": "SEA CLIFF",
"state": "NY",
"postal_code": "115791026",
"telephone_number": "516-676-1599",
"fax_number": "516-671-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 JERICHO TPKE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012024",
"telephone_number": "516-775-4258",
"fax_number": "516-671-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIED",
"first_name": "DOROTHY",
"middle_name": "PAULETTE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0300491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOROTHY",
"last_name": "GOLDSTEIN",
"middle_name": "PAULETTE",
"prefix": "MRS.",
"credential": "LSCW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.