Mordechai David Fried, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

117641 Issued in NY

Practice address

50 W Hawthorne Ave
Valley Stream, NY 11580-6223

Phone

(516) 569-6600

NPI assigned

Apr 1, 2022

Last updated

Nov 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1700526043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 BEACH 9TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915636",
            "telephone_number": "718-686-3149",
            "fax_number": "718-686-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W HAWTHORNE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806223",
            "telephone_number": "516-569-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "MORDECHAI",
        "middle_name": "DAVID",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "117641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ena Frederick, REGISTERED NURSE
• Clarence Frederique, LPN
• Leslie Marie Freeman, L.P.N.
• Mila Frenkel, DPT
• Bridget Freycinet, N.P.
• David Andrew Friedman, M.D.
• Ilana Y Friedman, MA CCC SLP
• Susan Friedman, MSW
• Friends of Bridge Inc
• Annmarie Fuchs, LMSW

• Social Worker in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.