Active NPI
Yehudis Friedman
- Clinical Social Worker
- Wall Township, NJ
National Provider Identifier
1750749834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06342800
- Practice address
- 1924 Route 35
Wall Township, NJ 07719-3530 - Phone
- (732) 814-4648
- Fax
- (609) 225-9355
- NPI assigned
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06342800 | NJ | Primary |
Addresses
Primary practice location
1924 Route 35
Wall Township, NJ 07719-3530
Mailing address
35 Lewin Ave
Lakewood, NJ 08701-4674
Phone (773) 503-9132
Other practice location 1
1401 New Rd
Linwood, NJ 08221-1121
Phone (609) 225-9355
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06342800 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Congregation Torath Chaim Raintree | Past | Accepting new patients | |
| CCC Counseling Inc | Clinical | Past | Accepting new patients |
| CCC Counseling Therapeutics LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Colts Neck, NJ
- NPI 1427800820
-
dba CCC Counseling Services
- Community/Behavioral Health Agency
- Linwood, NJ
- NPI 1225406762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719100800000",
"number": "1750749834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 LEWIN AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014674",
"telephone_number": "773-503-9132",
"fax_number": "609-225-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ROUTE 35",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077193530",
"telephone_number": "732-814-4648",
"fax_number": "609-225-9355"
}
],
"practiceLocations": [
{
"address_1": "1401 New Rd",
"address_purpose": "LOCATION",
"city": "Linwood",
"state": "NJ",
"postal_code": "082211121",
"country_code": "US",
"telephone_number": "609-225-9355",
"fax_number": "609-225-9355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "YEHUDIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2024-06-23",
"certification_date": "2024-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06342800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wall Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.