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

Theodore E Friedman, LCSW

Individual provider Clinical Social Worker · NPI 1497034805

Theodore E Friedman, LCSW is a Clinical Social Worker in LA Mesa, California. Qualified in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2011
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

5575 Lake Park Way Ste 100 Unit 1
LA Mesa, CA 91942-1664
Phone: (619) 729-8547
Fax: (619) 881-0088
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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 70492 (CA)

Record details

NPI number1497034805
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 16, 2011
Last updated in NPPESFebruary 26, 2016
Mailing address7136 Murray Park Dr, San Diego, CA 92119-2938

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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