Active NPI
Marilyn Sande-Friedman, LCSW
- Clinical Social Worker
- Ny, NY
National Provider Identifier
1083882344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR013009-1
- Practice address
- 1123 Park Ave.
1D
Ny, NY 10128-1241 - Phone
- (212) 289-2435
- Fax
- (212) 289-7626
- NPI assigned
- Feb 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | PR013009-1 | NY | Primary |
Addresses
Primary practice location
1123 Park Ave.
1D
Ny, NY 10128-1241
Mailing address
1123 Park Ave.
1D
New York, NY 10128-1241
Phone (212) 289-2435
Other names 1
- Marilyn Sande
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 |
|---|---|---|---|
| 013009 | NY | MD | Mental Health Counselor |
| PR013009-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1083882344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 PARK AVE.",
"address_2": "1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281241",
"telephone_number": "212-289-2435",
"fax_number": "212-289-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 PARK AVE.",
"address_2": "1D",
"city": "NY",
"state": "NY",
"postal_code": "101281241",
"telephone_number": "212-289-2435",
"fax_number": "212-289-7626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDE-FRIEDMAN",
"first_name": "MARILYN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR013009-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARILYN",
"last_name": "SANDE",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.