Provider Demographics
NPI:1144587908
Name:FRIEDMAN, ROCHELLE JEAN (ACSW)
Entity Type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:JEAN
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11220 72ND DR
Mailing Address - Street 2:B64
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5631
Mailing Address - Country:US
Mailing Address - Phone:917-763-0488
Mailing Address - Fax:718-264-7922
Practice Address - Street 1:11220 72ND DR
Practice Address - Street 2:B64
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5631
Practice Address - Country:US
Practice Address - Phone:917-763-0488
Practice Address - Fax:718-264-7922
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical