Individual provider Active NPI

Erica Friedland, LCSW

  • Clinical Social Worker
  • Northfield, IL
National Provider Identifier
1871215772
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.024890 Issued in IL
Practice address
191 Waukegan Rd Ste 208
Northfield, IL 60093-2743
Phone
(847) 329-9210
Fax
(773) 347-2656
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.104901 IL
Clinical Social Worker 1041C0700X 149.024890 IL Primary

Addresses

Primary practice location

191 Waukegan Rd Ste 208
Northfield, IL 60093-2743

Mailing address

675 W North Ave Ste 306
Melrose Park, IL 60160-1623
Phone (847) 329-9210

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.104901ILMDSocial Worker
149.024890ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Behavioral Health Group, P.C. PastSince Sep 20, 2022 Accepting new patients
Gersten & Associates PastSince Sep 20, 2022 Accepting new patients

Organizations & group practices 2

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1871215772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 306",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601623",
            "telephone_number": "847-329-9210",
            "fax_number": "773-347-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 WAUKEGAN RD STE 208",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932743",
            "telephone_number": "847-329-9210",
            "fax_number": "773-347-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLAND",
        "first_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.104901",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.