Provider Demographics
NPI:1952524662
Name:FRIEDMAN, BARBARA MCGOUGH (MSW)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:MCGOUGH
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:M
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:999 HAYNES ST
Mailing Address - Street 2:STE 250
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6715
Mailing Address - Country:US
Mailing Address - Phone:248-798-3456
Mailing Address - Fax:
Practice Address - Street 1:999 HAYNES ST
Practice Address - Street 2:STE 250
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6715
Practice Address - Country:US
Practice Address - Phone:248-798-3456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801015455101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN59920005Medicare PIN