Provider Demographics
NPI:1033245204
Name:FRIEDMAN, BARBARA M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:M
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 FOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4403
Mailing Address - Country:US
Mailing Address - Phone:201-894-1418
Mailing Address - Fax:201-894-1491
Practice Address - Street 1:71 GRAND AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-3531
Practice Address - Country:US
Practice Address - Phone:201-568-1659
Practice Address - Fax:201-894-1491
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046863001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical