Active NPI
Jaqueline Anne Fried, LCSW-R
- Clinical Social Worker
- New York, NY
National Provider Identifier
1851307235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R019263-1
- Practice address
- 131 Sullivan St
1C
New York, NY 10012-3043 - Phone
- (212) 387-0187
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | R019263-1 | NY | Primary |
Addresses
Primary practice location
131 Sullivan St
1C
New York, NY 10012-3043
Mailing address
17 Forest Dr
Woodstock, NY 12498-1419
Phone (845) 679-3040
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 |
|---|---|---|---|
| R019263-1 | NY | MD | Clinical Social Worker |
| 019263 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Errol R. Nadler LCSW, P.C. | Clinical | 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 Behavioral HealthCare of New York
- Clinical Social Worker
- Kingston, NY
- NPI 1881757896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851307235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 FOREST DR",
"city": "WOODSTOCK",
"state": "NY",
"postal_code": "124981419",
"telephone_number": "845-679-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 SULLIVAN ST",
"address_2": "1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100123043",
"telephone_number": "212-387-0187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIED",
"first_name": "JAQUELINE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R019263-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
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.