Individual provider Active NPI

Eugenie Baranoff, L.C.S.W.

  • Clinical Social Worker
  • Madera, CA
National Provider Identifier
1841310893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS12648 Issued in CA
Practice address
14277 Road 28
Madera, CA 93638-5715
Phone
(559) 675-7850
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS12648 CA Primary

Addresses

Primary practice location

14277 Road 28
Madera, CA 93638-5715

Mailing address

14277 Road 28
Madera, CA 93638-5715
Phone (559) 675-7850

Other names 1

  • Ms. Eugenie Friedman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS12648CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Madera Past Accepting new patients

Organizations & group practices 1

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841310893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14277 ROAD 28",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936385715",
            "telephone_number": "559-675-7850",
            "fax_number": "559-675-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14277 ROAD 28",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936385715",
            "telephone_number": "559-675-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARANOFF",
        "first_name": "EUGENIE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUGENIE",
            "last_name": "FRIEDMAN",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.