1659609196 NPI number — LORIEN JANEL FRIEDMAN M.S.W., L.I.C.S.W.

Table of content: LORIEN JANEL FRIEDMAN M.S.W., L.I.C.S.W. (NPI 1659609196)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659609196 NPI number — LORIEN JANEL FRIEDMAN M.S.W., L.I.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRIEDMAN
Provider First Name:
LORIEN
Provider Middle Name:
JANEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S.W., L.I.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FOSTER
Provider Other First Name:
LORIEN
Provider Other Middle Name:
JANEL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S.W.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1659609196
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12039 NE 128TH ST STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KIRKLAND
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98034-3030
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-899-5350
Provider Business Mailing Address Fax Number:
425-899-5355

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12039 NE 128TH ST STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KIRKLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98034-3030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-899-5350
Provider Business Practice Location Address Fax Number:
425-899-5355
Provider Enumeration Date:
11/20/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LW00004535 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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