NPIMap

Organization Active NPI

Dawn Friedland-Perez, LCSW, P.C.

  • Clinical Social Worker
  • Port Jefferson Station, NY
National Provider Identifier
1790711224
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DAWN FRIEDLAND-PEREZ, LCSW, P.C.
Practice address
8 Roosevelt Ave
Port Jefferson Station, NY 11776-3337
Phone
(631) 736-7707
NPI assigned
Jun 25, 2006
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Dawn Friedland-Perez, LCSWNPI 1558365023
Title
LCSW
Phone
(631) 367-7077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8 Roosevelt Ave
Port Jefferson Station, NY 11776-3337

Mailing address

12 Woodstork Dr
Mount Sinai, NY 11766-3400
Phone (631) 736-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050212000057 NY Part B Supplier - Clinic/Group Practice 2365494861 Receives reassigned benefits from 11 practitioners
Practice locations: Mt. Sinai, NY; Port Jefferson Station, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1790711224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WOODSTORK DR",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117663400",
            "telephone_number": "631-736-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ROOSEVELT AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763337",
            "telephone_number": "631-736-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN FRIEDLAND-PEREZ, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "FRIEDLAND-PEREZ",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "631-367-7077",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.