Provider Demographics
NPI:1932180395
Name:FRIEND, NESHAMA (LCSW)
Entity Type:Individual
Prefix:
First Name:NESHAMA
Middle Name:
Last Name:FRIEND
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 1:600 SANDTREE DR
Mailing Address - Street 2:SUITE 202C
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1597
Mailing Address - Country:US
Mailing Address - Phone:561-313-4369
Mailing Address - Fax:561-828-9272
Practice Address - Street 1:9184 GREEN MEADOWS WAY
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-5744
Practice Address - Country:US
Practice Address - Phone:561-313-4369
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW43321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7340Medicare ID - Type Unspecified