Individual provider Active NPI

Nicole Friedman, LSW

  • Social Worker
  • Scranton, PA
National Provider Identifier
1275955247
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW129178 Issued in PA
Practice address
615 Jefferson Ave Ste 204
Scranton, PA 18510-1630
Phone
(570) 344-1186
Fax
(570) 344-7641
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW129178 PA Primary

Addresses

Primary practice location

615 Jefferson Ave Ste 204
Scranton, PA 18510-1630

Mailing address

615 Jefferson Ave Ste 204
Scranton, PA 18510-1630
Phone (570) 344-1186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326003596 PA Practitioner - Clinical Social Worker 3375972334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Resources for Human Development, IncGroup PAC ID 2264341510, 21 clinicians

Practice addresses (Care Compare)

850 W Lancaster Ave
Suite 2
Bryn Mawr, PA 19010-3220
Phone (610) 520-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW129178PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Counseling Services Network, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Resources for Human Development, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Jewish Family Service of Northeastern Pennsylvania PastSince Apr 4, 2022 Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients

Locations

850 W Lancaster Ave
Ste 2
Bryn Mawr, PA 19010
Phone (484) 383-0038

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1275955247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 JEFFERSON AVE STE 204",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101630",
            "telephone_number": "570-344-1186",
            "fax_number": "570-344-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 JEFFERSON AVE STE 204",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101630",
            "telephone_number": "570-344-1186",
            "fax_number": "570-344-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "NICOLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.