Provider Demographics
NPI:1740645043
Name:FRIEDMAN, ALLAN (MSW, CSW)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 NILI ST
Mailing Address - Street 2:
Mailing Address - City:KARNEI SHOMRON
Mailing Address - State:MERCAZ
Mailing Address - Zip Code:44855
Mailing Address - Country:IL
Mailing Address - Phone:97254-589-3399
Mailing Address - Fax:
Practice Address - Street 1:9 NILI ST
Practice Address - Street 2:
Practice Address - City:KARNEI SHOMRON
Practice Address - State:MERCAZ
Practice Address - Zip Code:44855
Practice Address - Country:IL
Practice Address - Phone:97254-589-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical