Provider Demographics
NPI:1831135920
Name:FRIEDMAN, LINDA ADEL (MSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:ADEL
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33045 HAMILTON CT
Mailing Address - Street 2:SUITE W-300
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3385
Mailing Address - Country:US
Mailing Address - Phone:248-848-1558
Mailing Address - Fax:248-848-3592
Practice Address - Street 1:33045 HAMILTON CT
Practice Address - Street 2:SUITE W-300
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3385
Practice Address - Country:US
Practice Address - Phone:248-848-1558
Practice Address - Fax:248-848-3592
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 103TP2701X
MI0206141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP12140017Medicare ID - Type UnspecifiedINDIVIDUAL ID NUMBER