Provider Demographics
NPI:1184787392
Name:FRIEDMAN, JANICE FORBES (LCSW R)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:FORBES
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LCSW R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 MAIN ST SUITE 207
Mailing Address - Street 2:JANICE FRIEDMAN
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6737
Mailing Address - Country:US
Mailing Address - Phone:716-633-6900
Mailing Address - Fax:716-633-6902
Practice Address - Street 1:5500 MAIN ST SUITE 207
Practice Address - Street 2:JANICE FRIEDMAN
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6737
Practice Address - Country:US
Practice Address - Phone:716-633-6900
Practice Address - Fax:716-633-6902
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0262141104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
045325Medicare ID - Type Unspecified