Avital Friedland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022224 Issued in IL

Practice address

3511 N Wilton Ave Apt 1
Chicago, IL 60657-1941

Phone

(574) 329-4162

NPI assigned

Oct 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tali Friedland Psychotherapy PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1528835717
  NPD Authorized official

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1548770936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 N WILTON AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571941",
            "telephone_number": "574-329-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 N WILTON AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571941",
            "telephone_number": "574-329-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLAND",
        "first_name": "AVITAL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "F634-0029-1972",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Friedell Clinic, S. C.
• Peter E Friedell, M. D.
• Stanley E Friedell, MD
• Christin Page Friederich, WHNP-BC
• John Friedewald, MD
• Julia Sage Friedland
• Shawn Friedland, M.D.
• Alana Samara Friedlander, PSYD
• Rachel Leigh Friedlander
• Rebecca K Friedlander

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.