Provider Demographics
NPI:1497702864
Name:FREEDMAN, MARJORIE FELICE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:FELICE
Last Name:FREEDMAN
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 1:925 LAWRENCE CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1057
Mailing Address - Country:US
Mailing Address - Phone:516-489-1046
Mailing Address - Fax:516-485-1676
Practice Address - Street 1:17900 LINDEN BLVD
Practice Address - Street 2:SOCIAL WORK SERVICE 122Z
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11425-0001
Practice Address - Country:US
Practice Address - Phone:718-526-1000
Practice Address - Fax:718-298-8515
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR028936-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical