Provider Demographics
NPI:1164994612
Name:FRIEDMAN, MARIE CAROL (JD, LCSW, LCADC)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:CAROL
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:JD, LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-3901
Mailing Address - Country:US
Mailing Address - Phone:908-380-4141
Mailing Address - Fax:
Practice Address - Street 1:9 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3901
Practice Address - Country:US
Practice Address - Phone:908-380-4141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05821200101YM0800X
NJ37LC00272700101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health