Active NPI
Randi Friedenberg, LMSW
- Clinical Social Worker
- Monsey, NY
National Provider Identifier
1134636301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 061742
- Practice address
- 40 Robert Pitt Dr
Monsey, NY 10952-3333 - Phone
- (845) 352-6800
- Fax
- (845) 503-2298
- NPI assigned
- Jan 9, 2018
- 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 | 061742 | NY | Primary |
Addresses
Primary practice location
40 Robert Pitt Dr
Monsey, NY 10952-3333
Mailing address
40 Robert Pitt Dr
Monsey, NY 10952-3333
Phone (845) 352-6800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041C0700X | Other | NY | TAXONOMY |
| 061742 | Other | NY | STATE LICENSE |
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 |
|---|---|---|---|
| 061742 | NY | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1134636301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ROBERT PITT DR",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523333",
"telephone_number": "845-352-6800",
"fax_number": "845-503-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ROBERT PITT DR",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523333",
"telephone_number": "845-352-6800",
"fax_number": "845-503-2298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDENBERG",
"first_name": "RANDI",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "061742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "1041C0700X",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "061742",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.