Active NPI
Shoshana Friedlander, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1265890891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 088409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150015110 | IL | |
| Social Worker | 104100000X | 097004 | NY | |
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150015110 | Other | IL | LICENSED SOCIAL WORKER |
| 088409 | Other | NY | LICENSED CLINICAL SOCIAL WORKER |
Other names 1
- Shani Friedlander
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 |
|---|---|---|---|
| 150015110 | IL | MD | Social Worker |
| 097004 | NY | MD | Social Worker |
| 088409 | NY | MD | Clinical 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.