Active NPI
Dawn Friedland-Perez, LCSW, P.C.
- Clinical Social Worker
- Port Jefferson Station, NY
National Provider Identifier
1790711224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn Friedland-Perez, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02532887 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Port Jefferson Station, NY
- NPI 1558365023
Clinical, NY
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02532887",
"state": "NY"
}
],
"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.