Dolores Enid Friedel

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PRO12609-1 Issued in NY

Practice address

70 Ithaca Ave
Atlantic Beach, NY 11509-1321

Phone

(516) 239-4677

NPI assigned

Mar 20, 2008

Last updated

Jul 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dolores Enid Etrog-Friedel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1235300070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ITHACA AVE",
            "city": "ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115091321",
            "telephone_number": "516-239-3411",
            "fax_number": "516-239-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ITHACA AVE",
            "city": "ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115091321",
            "telephone_number": "516-239-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDEL",
        "first_name": "DOLORES",
        "middle_name": "ENID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO12609-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLORES",
            "last_name": "ETROG-FRIEDEL",
            "middle_name": "ENID",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Buttafuoco
• Lisa Beth Cohen, LCSW-R
• Jo Ann Dattilo Trabouls, LCSW R BCD
• Brocha Feinberg, OTR/L
• Joseph Franca, P.T.
• Elliott Friedel, MD
• Janet Friedman-Last
• Jenna Maxine Friedman, DPM
• Snehanshu Ghosh, M.D.
• Gilbert G. Makabali, MD PC

• Clinical Social Worker in Atlantic Beach, NY
• Providers in Atlantic Beach, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.