Provider Demographics
NPI:1720146681
Name:FRIEDMAN-STEMMER, RENEE LAURA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:LAURA
Last Name:FRIEDMAN-STEMMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:RENEE
Other - Middle Name:LAURA
Other - Last Name:STEMMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1930 MARLTON PIKE E STE N70
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-4203
Mailing Address - Country:US
Mailing Address - Phone:856-985-6300
Mailing Address - Fax:856-489-8869
Practice Address - Street 1:1930 MARLTON PIKE E STE N70
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-4203
Practice Address - Country:US
Practice Address - Phone:856-985-6300
Practice Address - Fax:856-489-8869
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04386700NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0098826000Medicare UPIN
NJP408324Medicare UPIN