Michelle Fridman, LISW, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I. 1501006 Issued in OH

Practice address

824 Bowtown Rd
Delaware, OH 43015-9661

Phone

(740) 369-7688

Fax

(740) 363-6415

NPI assigned

Jan 25, 2016

Last updated

Jan 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michelle Webb Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Access Ohio, LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1689763740
  Medicare reassignment NPD
• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  Medicare reassignment NPD
• Access Ohio, LLC

  dba Access Ohio

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1194179150
  NPD
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD
• Ohioguidestone

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1487452603
  NPD

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1376900191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S HENRY ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152978",
            "telephone_number": "740-369-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 BOWTOWN RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159661",
            "telephone_number": "740-369-7688",
            "fax_number": "740-363-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "MICHELLE",
        "credential": "LISW, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC 091064",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 1501006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WEBB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica McCuen Foster
• Kathrine Fox, LPC
• Jennifer Nicole Franklin Kearns
• Gerald Thomas French, MD
• Dmitriy Fridman
• Matthew Daniel Fuerst, M.D.
• Raymond D. Fuller, M.D.
• G.M. Health Services, Inc. (HouseCalls)
• Amy Lynn Gabel, OTR/L
• Jarrod Gable, ATC

• Clinical Social Worker in Delaware, OH
• Providers in Delaware, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.