Provider Demographics
NPI:1073019360
Name:FRIEDMAN, DEBORAH RACHEL (MSW)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:RACHEL
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2553 QUEENSTON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4351
Mailing Address - Country:US
Mailing Address - Phone:216-321-7654
Mailing Address - Fax:216-373-3473
Practice Address - Street 1:2553 QUEENSTON RD.
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-4351
Practice Address - Country:US
Practice Address - Phone:216-321-7654
Practice Address - Fax:216-373-3473
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0007431104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker