Individual provider Active NPI

Jean Friedman, MSW, LCSW

  • Clinical Social Worker
  • Lenox, MA
National Provider Identifier
1790913440
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC03953 Issued in NJ
Practice address
8-10 Rolling Hills
Lenox, MA 01240-2169
Phone
(201) 618-8035
Fax
(201) 836-0554
NPI assigned
Jul 1, 2009
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 44SC03953 NJ Primary

Addresses

Primary practice location

8-10 Rolling Hills
Lenox, MA 01240-2169

Mailing address

8-10 Rolling Hills
Lenox, MA 01240-2169
Phone (201) 618-8035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20091029000031 NJ Practitioner - Clinical Social Worker 8628115391 Practice locations: Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

277 Edgewood Ave
Teaneck, NJ 07666-3023
Phone (201) 836-0554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC03953NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1790913440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8-10 ROLLING HILLS",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402169",
            "telephone_number": "201-618-8035",
            "fax_number": "201-836-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8-10 ROLLING HILLS",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402169",
            "telephone_number": "201-618-8035",
            "fax_number": "201-836-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC03953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenox, MA

Sources for this page

Verify at the official NPI Registry.