Provider Demographics
NPI:1356478267
Name:FRIEDMAN, SUSAN JUDY (LCSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:JUDY
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 SHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1322
Mailing Address - Country:US
Mailing Address - Phone:908-526-6376
Mailing Address - Fax:908-253-3780
Practice Address - Street 1:929 SHERWOOD RD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1322
Practice Address - Country:US
Practice Address - Phone:908-526-6376
Practice Address - Fax:908-253-3780
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC013747001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical