Individual provider Active NPI

Michael Friedman, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1770967960
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06047 Issued in MD
Practice address
2112 Maryland Ave
Baltimore, MD 21218-5624
Phone
(443) 388-9530
Fax
(443) 388-9535
NPI assigned
Jul 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06047 MD Primary

Addresses

Primary practice location

2112 Maryland Ave
Baltimore, MD 21218-5624

Mailing address

8932 Town and Country Blvd Apt E
Ellicott City, MD 21043-3121
Phone (410) 465-1785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040415001087 MD Practitioner - Clinical Social Worker 2567457948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salus Health Inc.Group PAC ID 8123436540, 13 clinicians

Practice addresses (Care Compare)

1020 Saint Paul St
Baltimore, MD 21202-2606
Phone (410) 529-0348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salus Health Inc CurrentSince Dec 30, 2023 Accepting new patients
Conduit Inc CurrentSince Nov 4, 2022 Accepting new patients
Conduit Inc CurrentSince Nov 4, 2022 Accepting new patients

Locations

3901 Park Heights Ave
Baltimore, MD 21215
Phone (443) 794-2253

1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348

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.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1770967960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8932 TOWN AND COUNTRY BLVD APT E",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433121",
            "telephone_number": "410-465-1785",
            "fax_number": "443-388-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185624",
            "telephone_number": "443-388-9530",
            "fax_number": "443-388-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MICHAEL",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.