Individual provider Active NPI

Jerome G Friedman, MSW

  • Clinical Social Worker
  • Cotuit, MA
National Provider Identifier
1386602845
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105255 Issued in MA
Practice address
39 Rosewood LN
Cotuit, MA 02635-2307
Phone
(508) 776-3942
Fax
(508) 428-0500
NPI assigned
May 3, 2006
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 105255 MA Primary

Addresses

Primary practice location

39 Rosewood LN
Cotuit, MA 02635-2307

Mailing address

230 Route 149
Marstons Mills, MA 02648
Phone (508) 428-3698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • 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
I20041124000163 MA Practitioner - Clinical Social Worker 3870558307 Practice locations: Cotuit, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan H Schwartz MD, PLLC Past Accepting new patients
Southshore TMS LLC Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1386602845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 ROUTE 149",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "02648",
            "telephone_number": "508-428-3698",
            "fax_number": "508-428-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 ROSEWOOD LN",
            "city": "COTUIT",
            "state": "MA",
            "postal_code": "026352307",
            "telephone_number": "508-776-3942",
            "fax_number": "508-428-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JEROME",
        "middle_name": "G",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cotuit, MA

Sources for this page

Verify at the official NPI Registry.