Provider Demographics
NPI:1376218529
Name:FRIELINGSDORF, DESIREE MICHELLE (LCSWA)
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:MICHELLE
Last Name:FRIELINGSDORF
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 CRAGMONT RD
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-2814
Mailing Address - Country:US
Mailing Address - Phone:828-989-3897
Mailing Address - Fax:
Practice Address - Street 1:1314 PATTON AVE STE D
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2648
Practice Address - Country:US
Practice Address - Phone:828-255-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0166221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical