Provider Demographics
NPI:1326390782
Name:FRIEDMAN, JEFFREY MICHAEL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:MICHAEL
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1800 S OCEAN DR
Mailing Address - Street 2:APT 1904
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-7734
Mailing Address - Country:US
Mailing Address - Phone:954-494-9914
Mailing Address - Fax:
Practice Address - Street 1:20801 BISCAYNE BLVD
Practice Address - Street 2:SUITE 4003
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1430
Practice Address - Country:US
Practice Address - Phone:305-932-0016
Practice Address - Fax:305-932-1262
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW110581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical