Active NPI
Michael Friedman, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1770967960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06047
- 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
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 | 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salus Health Inc | Current | Accepting new patients | |
| Conduit Inc | Current | Accepting new patients | |
| Conduit Inc | Current | 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.
-
- Nurse Practitioner
- Baltimore, MD
- NPI 1285244004
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1629663760
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1043802275
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.