Annie F Friedman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119984 Issued in MA

Practice address

Extended Stay America
32 4The Avenue
Waltham, MA 02451

Phone

(781) 622-1900

NPI assigned

Sep 28, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1245715879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 LAUREL PARK",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010601196",
            "telephone_number": "617-244-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXTENDED STAY AMERICA",
            "address_2": "32 4THE AVENUE",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02451",
            "telephone_number": "781-622-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ANNIE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "11984",
            "identifier": "119984",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care
• Fresenius Vascular Care, Inc
• Mary Kennelly Frey, GNP - BC
• Michele Fridley, BA
• Alexander Daniel Friedman
• Kimberly Ann Friend
• Zoie Gita Friend
• Front Range Kidney Care PLLC
• Thomas A Fry, MD
• Jordan Louis Fuller, PT, DPT, LAT, ATC

• Clinical Social Worker in Waltham, MA
• Providers in Waltham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.