Active NPI
Richard A Brandon-Friedman, PHD, MSW, LCSW, LCAC
- Clinical Social Worker
- Greenwood, IN
National Provider Identifier
1669758009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006932A
- Practice address
- 390 N Madison Ave
Greenwood, IN 46142-2300 - Phone
- (602) 750-1541
- NPI assigned
- Oct 31, 2011
- Last updated
- Oct 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87000926A | IN | |
| Social Worker | 104100000X | 33006072A | IN | |
| Clinical Social Worker | 1041C0700X | 34006932A | IN | Primary |
Addresses
Primary practice location
390 N Madison Ave
Greenwood, IN 46142-2300
Mailing address
3730 Allen Ave
Fort Wayne, IN 46805-1812
Phone (260) 484-4600
Other names 1
- Richard Friedman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87000926A | IN | MD | Addiction (Substance Use Disorder) Counselor |
| 33006072A | IN | MD | Social Worker |
| 34006932A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Waletich LCSW LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Transformations Counseling Services
- Clinical Social Worker
- Indianapolis, IN
- NPI 1063884617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1669758009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 ALLEN AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468051812",
"telephone_number": "260-484-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 N MADISON AVE",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461422300",
"telephone_number": "602-750-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON-FRIEDMAN",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD, MSW, LCSW, LCAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-31",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "87000926A",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33006072A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006932A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "FRIEDMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.