Jean R Goldberg is a Clinical in New York, New York. Jean R Goldberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jean R Goldberg is 1053519108. The last update date is 2007-07-10.
Jean R Goldberg's current location address is 77 Seventh Avenue, New York, New York. You can contact this provider via phone number 2129891478. The mailing address for Jean R Goldberg is 77 Seventh Avenue, New York, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jean R Goldberg |
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Address | 77 Seventh Avenue, New York, New York |
Phone Number | 2129891478 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1053519108 |
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Provider Enumeration Date | 2007-07-10 |
Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
Address | 77 Seventh Avenue |
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City | New York |
State | New York (NY) |
Post Code | 10011 |
Phone Number | 2129891478 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | R015304 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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R015304 | NY | EDUCATION DEPT DIVISION |
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What is the unique identifier code issued to Jean R Goldberg by the Centers for Medicare & Medicaid Services?
The Jean R Goldberg has been assigned the NPI (National Provider Identifier) 1053519108. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jean R Goldberg?
The Jean R Goldberg is situated at 77 Seventh Avenue, in the city of New York, state of NY, with the zip code 10011.
What is Jean R Goldberg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jean R Goldberg's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Jean R Goldberg receive its 1053519108 assignment from the Centers for Medicare & Medicaid Services?
The Jean R Goldberg was assigned its 1053519108 by the Centers for Medicare & Medicaid Services on 2007-07-10.
When was the information related to Jean R Goldberg most recently updated or refreshed?
The details pertaining to the Jean R Goldberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-10.