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MORDECHAI DAVID FRIED MSW
NPI 1700526043
Social Worker in Valley Stream, NY

Active since April 01, 2022PECOS Enrolled
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580(516) 569-6600 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mordechai David Fried Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MORDECHAI DAVID FRIED MSW (NPI 1700526043) is an individual social worker in Valley Stream, New York, licensed in New York (117641) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700526043
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMORDECHAI DAVID FRIEDCredential: MSW
Location Address50 W HAWTHORNE AVEValley Stream, NY 11580-6223
Mailing Address156 Beach 9th StFar Rockaway, NY 11691-5636 · (718) 686-3149 · Fax (718) 686-4149
Phone(516) 569-6600
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 1, 2022
Last NPPES UpdateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
✔ NPI 1700526043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 117641
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
50 W HAWTHORNE AVE, Valley Stream, NY 11580
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mordechai David Fried Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890251615
PECOS Enrollment IDI20260731000191
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mordechai Fried reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interborough Developmental And Consultation Center, Inc.
14 mi
Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
NPI 1588611842 (718) 375-1200
Community Assistance Resources & Extended Services Inc
15 mi
Case Management
465 GRAND ST, SECOND FLOOR
New York, NY 10002
  • Reassigned Medicare billing, New York enrollment
  • 56 clinicians in this Medicare group
NPI 1396049987 (212) 420-1970

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE DREY
Social Worker
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 352-9663
JEANNINE RUTH SIMS
Social Worker (Clinical)
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600
MS. ASHLEY BELBOL
Counselor (Mental Health)
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600
LORI BETH WARNER LMSW
Social Worker
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (515) 569-6600
ERROL DEAN BRAITHWAITE MBA
Counselor
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600
JENNIFER MARIE HOLLAND
Case Manager/Care Coordinator
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600
MRS. BARI LYNN TANNENBAUM LMSW
Counselor (Mental Health)
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600
REBECCA ROBERTS
Social Worker
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mordechai Fried's NPI number?

The NPI number for Mordechai Fried is 1700526043. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Mordechai Fried located?

Mordechai Fried practices at 50 W Hawthorne Ave, Valley Stream, NY 11580. The listed phone number is (516) 569-6600.

What is Mordechai Fried's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Mordechai Fried enrolled in Medicare?

Yes. Mordechai Fried is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mordechai Fried's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mordechai Fried reassigns Medicare benefits to 2 organizations: Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY) and Community Assistance Resources & Extended Services Inc (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mordechai Fried's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mordechai Fried was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.