Provider Demographics
NPI:1235783762
Name:FRIEDMAN, BARRIE KONIGSBERG (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:BARRIE
Middle Name:KONIGSBERG
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8832 WANDERING TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2376
Mailing Address - Country:US
Mailing Address - Phone:301-980-7274
Mailing Address - Fax:301-762-1066
Practice Address - Street 1:8832 WANDERING TRAIL DR
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-2376
Practice Address - Country:US
Practice Address - Phone:301-980-7274
Practice Address - Fax:301-762-1066
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD069091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty