Individual provider Active NPI

Patricia Fridman, LMSW

  • Clinical Social Worker
  • West Bloomfield, MI
National Provider Identifier
1972625143
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801068088 Issued in MI
Practice address
5600 W Maple Rd Ste B212
West Bloomfield, MI 48322-3787
Phone
(248) 425-8981
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 6801068088 MI
Clinical Social Worker 1041C0700X 6801068088 MI Primary

Addresses

Primary practice location

5600 W Maple Rd Ste B212
West Bloomfield, MI 48322-3787

Mailing address

86 Gibson Rd
Asheville, NC 28804-1736
Phone (248) 425-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090922000419 MI Practitioner - Clinical Social Worker 5597811281 Practice locations: West Bloomfield, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5600 W Maple Rd
Suite B212
West Bloomfield, MI 48322-3787
Phone (248) 425-8981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801068088MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Perspectives Time Well Spent Counseling and Resource Cent Clinical CurrentSince Apr 14, 2024 Accepting new patients
Gales Institute on Aging and Family Counseling, LLC Clinical CurrentSince Apr 14, 2024 Accepting new patients

Locations

5600 W Maple Rd
Ste B212
West Bloomfield, MI 48322
Phone (248) 425-8981

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1972625143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 GIBSON RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041736",
            "telephone_number": "248-425-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD STE B212",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223787",
            "telephone_number": "248-425-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-04-10",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801068088",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.