Provider Demographics
NPI:1093081093
Name:FRIEDMAN, MARIA (LCSW, PC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LCSW, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W 111TH ST
Mailing Address - Street 2:SUITE 7B2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1813
Mailing Address - Country:US
Mailing Address - Phone:646-431-9010
Mailing Address - Fax:
Practice Address - Street 1:600 W 111TH ST
Practice Address - Street 2:SUITE 7B2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1813
Practice Address - Country:US
Practice Address - Phone:646-431-9010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-24
Last Update Date:2016-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO48132-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical