Individual provider Active NPI

Linda Friedricks, L.C.S.W.

  • Clinical Social Worker
  • Upper Montclair, NJ
National Provider Identifier
1306998612
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00855200 Issued in NJ
Practice address
594 Valley Rd
Upper Montclair, NJ 07043-1882
Phone
(973) 783-2949
Fax
(973) 783-1702
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00855200 NJ Primary

Addresses

Primary practice location

594 Valley Rd
Upper Montclair, NJ 07043-1882

Mailing address

594 Valley Rd
Upper Montclair, NJ 07043-1882
Phone (973) 783-2949

Other names 1

  • Linda Halper Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050411000041 NJ Practitioner - Clinical Social Worker 5799722922 Practice locations: Upper Montclair, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

218 Lorraine Ave
Upper Montclair, NJ 07043-1882

594 Valley Rd
Upper Montclair, NJ 07043-1882
Phone (973) 783-2949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306998612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 VALLEY RD",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431882",
            "telephone_number": "973-783-2949",
            "fax_number": "973-783-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 VALLEY RD",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431882",
            "telephone_number": "973-783-2949",
            "fax_number": "973-783-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDRICKS",
        "first_name": "LINDA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00855200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "HALPER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Upper Montclair, NJ

Sources for this page

Verify at the official NPI Registry.