Provider Demographics
NPI:1669800868
Name:FRIENDY, MICHELLE BALDWIN (LCSW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:BALDWIN
Last Name:FRIENDY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:MARIE
Other - Last Name:BALDWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4480 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:SCHNECKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18078-2543
Mailing Address - Country:US
Mailing Address - Phone:619-762-0669
Mailing Address - Fax:
Practice Address - Street 1:4480 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SCHNECKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18078-2543
Practice Address - Country:US
Practice Address - Phone:619-762-0669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-24
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0160501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical