Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Michael Friedman, LCSW

Individual provider Clinical Social Worker · NPI 1235757089

Jordan Michael Friedman, LCSW is a Clinical Social Worker in Phoenix, Arizona. Qualified in 1988, 38 years ago. Practices with Mountain Park Health Center, a 121-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
38
Licensed in
AZ
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4220 N 20th Ave
Phoenix, AZ 85015-5124
Phone: (602) 889-9401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-18586 (AZ)

Record details

NPI number1235757089
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 8, 2020
Last updated in NPPESJuly 8, 2020
Certification dateJuly 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Mountain Park Health Center — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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