Individual provider Active NPI

Lisa Margo Friedlander, LICSW

  • Mental Health Counselor
  • Tewksbury, MA
National Provider Identifier
1598789307
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
107913 Issued in MA
Practice address
1501 Main St
Suite 3
Tewksbury, MA 01876-4725
Phone
(978) 858-0013
Fax
(509) 267-0238
NPI assigned
Jul 26, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 107913 MA Primary
Mental Health Counselor 101YM0800X 1030 NH

Addresses

Primary practice location

1501 Main St
Suite 3
Tewksbury, MA 01876-4725

Mailing address

17 Sheep Rd
Lee, NH 03824-6622
Phone (603) 969-9524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050808000552 MA Practitioner - Clinical Social Worker 9931138278 Practice locations: Tewksbury, MA
I20230821002082 NH Practitioner - Clinical Social Worker 9931138278 Practice locations: Lee, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17 Sheep Rd
Lee, NH 03861-6622
Phone (603) 969-9524

2500 Main St
Suite 204
Tewksbury, MA 01876-3185
Phone (978) 988-9333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107913MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598789307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SHEEP RD",
            "city": "LEE",
            "state": "NH",
            "postal_code": "038246622",
            "telephone_number": "603-969-9524",
            "fax_number": "509-267-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MAIN ST",
            "address_2": "SUITE 3",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764725",
            "telephone_number": "978-858-0013",
            "fax_number": "509-267-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLANDER",
        "first_name": "LISA",
        "middle_name": "MARGO",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "107913",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

Verify at the official NPI Registry.