Provider Demographics
NPI:1619285921
Name:FRIEDMAN, SARA ROSEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:ROSEN
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:MICHELLE
Other - Last Name:ROSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4851 INDEPENDENCE STREET
Mailing Address - Street 2:70 EXECUTIVE CENTER
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033
Mailing Address - Country:US
Mailing Address - Phone:303-432-5483
Mailing Address - Fax:
Practice Address - Street 1:4851 INDEPENDENCE STREET
Practice Address - Street 2:70 EXECUTIVE CENTER
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-432-5483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099237671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical