Individual ProviderAnnie F FriedmanSocial WorkerBehavioral Health & Social Service ProvidersPractice AddressExtended Stay America, 32 4the Avenue, Waltham, MA 02451(781) 622-1900(617) 244-3768PECOS EnrollmentBased on the most recent information from CMS, provider Annie F Friedman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1245715879Provider TypeIndividualFull NameFriedman, Annie FTitleMs.CredentialLICSWGenderFemaleSole ProprietorYesEnumeration Date9/28/2018Last Updated9/28/2018Contact InformationPractice LocationPractice AddressExtended Stay America, 32 4the Avenue, Waltham, MA 02451Phone(781) 622-1900FaxUnlisted FaxMailing LocationMailing Address82 Laurel Park, Northampton, MA 01060-1196Phone(617) 244-3768FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense119984MassachusettsProvider IdentifiersIDDescriptionIssuerID119984DescriptionOtherIssuer11984Massachusetts