Jacqueline Sue Friedberg in Massapequa - Clinical

Jacqueline Sue Friedberg - NPI 1598875429

Jacqueline Sue Friedberg is a Clinical in Massapequa, New York. Jacqueline Sue Friedberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline Sue Friedberg is 1598875429. The last update date is 2012-01-11.

Jacqueline Sue Friedberg's current location address is 550 Broadway, Massapequa, New York. You can contact this provider via phone number 5167952026 and fax number 5167952026. The mailing address for Jacqueline Sue Friedberg is 550 Broadway, Massapequa, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline Sue Friedberg
Address 550 Broadway, Massapequa, New York
Phone Number 5167952026
Fax Number 5167952026
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1598875429
Provider Enumeration Date 2006-08-30
Last Updated Date 2012-01-11

Provider Mailing Address Detail

Address 550 Broadway
City Massapequa
State New York (NY)
Post Code 117585013
Phone Number 5167952026
Fax Number 5167952026

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R031689-1
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
66885 NY EMPIRE/VALUE OPTIONS/OPTIMUM
7800008 GHI
P12268310 MULTIPLAN
4387 AFFINITY
60106 VETRA
FI1689 ATLANTIC HEALTH CARE
T166854 CIGNA
66885 EMPIRE VALUE OPTIONS
189236 NY GHI
208916624 UNITED BEHAVIORAL HEALTH CARE

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FAQs about Jacqueline Sue Friedberg

What is the unique identifier code issued to Jacqueline Sue Friedberg by the Centers for Medicare & Medicaid Services (CMS)?

The Jacqueline Sue Friedberg has been assigned the NPI (National Provider Identifier) 1598875429. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Jacqueline Sue Friedberg is physically located?

The Jacqueline Sue Friedberg is situated at the following address: 550 Broadway, Massapequa, NY 117585013.

What is the area of specialization for Jacqueline Sue Friedberg, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jacqueline Sue Friedberg is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1598875429 to Jacqueline Sue Friedberg?

The Centers for Medicare & Medicaid Services assigned the 1598875429 to Jacqueline Sue Friedberg on 2006-08-30.

When was the information pertaining to Jacqueline Sue Friedberg most recently updated or revised?

The details related to Jacqueline Sue Friedberg, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-11.

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