Individual provider Active NPI

Rochelle Jean Friedman, ACSW

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1144587908
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28045 Issued in NY
Practice address
11220 72ND Dr
B64
Forest Hills, NY 11375-5631
Phone
(917) 763-0488
Fax
(718) 264-7922
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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 28045 NY Primary

Addresses

Primary practice location

11220 72ND Dr
B64
Forest Hills, NY 11375-5631

Mailing address

11220 72ND Dr
B64
Forest Hills, NY 11375-5631
Phone (917) 763-0488

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28045NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1144587908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 72ND DR",
            "address_2": "B64",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755631",
            "telephone_number": "917-763-0488",
            "fax_number": "718-264-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 72ND DR",
            "address_2": "B64",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755631",
            "telephone_number": "917-763-0488",
            "fax_number": "718-264-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ROCHELLE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "28045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.