Individual provider Active NPI

Shoshana Friedlander, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1265890891
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088409 Issued in NY
Practice address
210 West 70TH Street
Suite 1
New York, NY 10023
Phone
(646) 906-9096
NPI assigned
Feb 10, 2016
Reactivated
Feb 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150015110 IL
Social Worker 104100000X 097004 NY
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 088409 NY Primary

Addresses

Primary practice location

210 West 70TH Street
Suite 1
New York, NY 10023

Mailing address

210 West 70TH Street
Suite 1
New York, NY 10023
Phone (646) 906-9096

Other practice location 1

4840 W Byron St
Chicago, IL 60641-2712
Phone (847) 257-6025

Other practice location 2

9777 Queens Blvd
Rego Park, NY 11374-3335
Phone (718) 896-9090

Other identifiers 2

IdentifierTypeStateIssuer
150015110OtherILLICENSED SOCIAL WORKER
088409OtherNYLICENSED CLINICAL SOCIAL WORKER

Other names 1

  • Shani Friedlander Professional name

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

LicenseStateTypeSpecialty
150015110ILMDSocial Worker
097004NYMDSocial Worker
088409NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1265890891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WEST 70TH STREET",
            "address_2": "SUITE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "646-906-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WEST 70TH STREET",
            "address_2": "SUITE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "646-906-9096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4840 W Byron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606412712",
            "country_code": "US",
            "telephone_number": "847-257-6025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9777 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113743335",
            "country_code": "US",
            "telephone_number": "718-896-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDLANDER",
        "first_name": "SHOSHANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "deactivation_date": "2018-01-17",
        "reactivation_date": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150015110",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097004",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "150015110",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED  CLINICAL SOCIAL WORKER",
            "identifier": "088409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANI",
            "last_name": "FRIEDLANDER",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.