Tristin Goldberg is a Clinical in Chicago, Illinois. Tristin Goldberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tristin Goldberg is 1629101159. The last update date is 2010-08-18.
Tristin Goldberg's current location address is 3525 W Peterson Ave Ste 400, Chicago, Illinois. You can contact this provider via phone number 7738665035. The mailing address for Tristin Goldberg is 3525 W Peterson Ave Ste 400, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tristin Goldberg |
|---|---|
| Address | 3525 W Peterson Ave Ste 400, Chicago, Illinois |
| Phone Number | 7738665035 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629101159 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2010-08-18 |
Provider Mailing Address Detail
| Address | 3525 W Peterson Ave Ste 400 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606593324 |
| Phone Number | 7738665035 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149-011542 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identification code assigned to Tristin Goldberg by the Centers for Medicare & Medicaid Services?
The Tristin Goldberg has been issued the NPI (National Provider Identifier) 1629101159. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tristin Goldberg?
The Tristin Goldberg is situated at 3525 W Peterson Ave Ste 400, in the city of Chicago, state of IL, with the zip code 606593324.
What is Tristin Goldberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tristin Goldberg is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did the Tristin Goldberg receive its 1629101159?
The Tristin Goldberg was issued its 1629101159 on 2007-03-13, which is the date when the organization was assigned this unique identifier.
When was the information related to Tristin Goldberg most recently updated or refreshed?
The details pertaining to the Tristin Goldberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-18.
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