THEODORE E FRIEDMAN (NPI# 1497034805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497034805 |
| Entity Type | Individual |
| Full Name | THEODORE E FRIEDMAN |
| Credential | LCSW |
| Practice Address |
5575 Lake Park Way Suite 100 Unit 1 La Mesa CA 91942-1664 |
| Mailing Address |
7136 Murray Park Dr San Diego CA 92119-2938 |
| Practice Telephone | 6197298547 |
| Practice Fax Number | 6198810088 |
| Mailing Telephone | 6197298547 |
| Mailing Fax Number | 6198810088 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2016-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
70492 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164608451 | Theodore Marcus Friedman | Pathology | 3600 Joseph Siewick Dr, Dept of Pathology, Inova Fair Oaks Hospital, Fairfax, VA 22033-1709 | 2008-01-16 |
| 1972669125 | Theodore Friedman | Internal Medicine | 4727 Wilshire Blvd, Suite 100, Los Angeles, CA 90010 | 2006-12-29 |
| 1003991654 | Theodore Arthur Friedman | Pathology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2006-10-25 |
| Street Address |
5575 LAKE PARK WAY SUITE 100 UNIT 1 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255356580 | Elizabeth Donahue-marucheau | Social Worker | 5575 Lake Park Way, #114, La Mesa, CA 91942-1664 | 2006-07-13 |
| 1073998795 | Laurel Klotz | Marriage & Family Therapist | 5575 Lake Park Way, Ste. 114, La Mesa, CA 91942-1664 | 2015-07-23 |
| 1316207384 | Jamie Flechsig | Massage Therapist | 5575 Lake Park Way, Suite 114, La Mesa, CA 91942 | 2012-05-23 |
| 1346500444 | Lisa Sanders | Marriage & Family Therapist | 5575 Lake Park Way, Suite 100, La Mesa, CA 91942-1664 | 2012-05-22 |
| 1568750495 | Shannyn I Fowl | Naturopath | 5575 Lake Park Way, Ste. 114, La Mesa, CA 91942-1664 | 2011-07-12 |
| 1497985832 | Monika-maria Grace | Psychologist | 5575 Lake Park Way, Suite 100-6, La Mesa, CA 91942 | 2009-07-20 |
| 1841436623 | Phyllis Vokey Long | Marriage & Family Therapist | 5575 Lake Park Way, Suite 100, La Mesa, CA 91942-1664 | 2008-12-26 |
| 1427102185 | Janet P. Murphy | Psychologist | 5575 Lake Park Way, Ste. 114, La Mesa, CA 91942-1664 | 2007-01-22 |
| 1225118144 | Cynthia Jane Shipman I | Psychologist | 5575 Lake Park Way, 114, La Mesa, CA 91942-1664 | 2006-10-16 |
| 1336230689 | Excel Home Health | Home Health | 5575 Lake Park Way, Suite 220, La Mesa, CA 91942 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003442328 | Noemi Ana Mitzel | Social Worker | 4540 Maple Ave Unit 243, La Mesa, CA 91941-6358 | 2020-03-18 |
| 1629548755 | Inspire Professional Counseling PC | Social Worker | 4730 Palm Ave Ste 214, La Mesa, CA 91941-5264 | 2018-12-01 |
| 1760967087 | Tammy Decristo | Social Worker | 9009 Park Plaza Dr, La Mesa, CA 91942-3400 | 2018-10-02 |
| 1184104572 | Acosta Associates LLC | Social Worker | 6598 Rio Dorado Ct, La Mesa, NM 88044-9657 | 2018-08-15 |
| 1124543061 | Belinda Radovich | Social Worker | 4117 Avocado Blvd, La Mesa, CA 91941-7205 | 2017-08-12 |
| 1194028951 | Christopher Onderdonk | Social Worker | 7827 Normal Ave, La Mesa, CA 91941-6317 | 2010-12-15 |
| 1205148517 | Karen Louise Moorehead-jenkins | Social Worker | 8851 Center Dr Ste 200, La Mesa, CA 91942-3043 | 2010-07-02 |
| 1659529600 | Megan Kelly Baker | Social Worker | 8376 Hercules St., La Mesa, CA 91942 | 2008-09-03 |
| 1790955458 | Joyce Virginia James | Social Worker | 4700 Spring St Ste 306, La Mesa, CA 91942-2294 | 2008-03-08 |
| 1659589588 | Lorena Avitea | Social Worker | 8080 La Mesa Blvd Ste 104, La Mesa, CA 91942 | 2007-05-21 |
| Find all providers in LA MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.