Healthcare Provider Details

I. General information

NPI: 1174926927
Provider Name (Legal Business Name): JANET FRIEDLICH L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2014
Last Update Date: 10/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 PERRINEVILLE RD
MONROE TOWNSHIP NJ
08831-4923
US

IV. Provider business mailing address

32 FORD AVE
MILLTOWN NJ
08850-1532
US

V. Phone/Fax

Practice location:
  • Phone: 609-395-7979
  • Fax: 609-395-7129
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC00663300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: