Active NPI
Eugenie Baranoff, L.C.S.W.
- Clinical Social Worker
- Madera, CA
National Provider Identifier
1841310893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS12648
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS12648 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba County of Madera Department of Public Health
- State or Local Public Health Clinic/Center
- Madera, CA
- NPI 1265573349
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.