Victor James Goldman in Port Jefferson Stati - Clinical
Victor James Goldman - NPI 1104866094
Victor James Goldman is a Clinical in Port Jefferson Stati, New York. Victor James Goldman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Victor James Goldman is 1104866094. The last update date is 2007-07-08.
Victor James Goldman's current location address is 1050 Hallock Ave, Port Jefferson Stati, New York. You can contact this provider via phone number 6319284114 and fax number 6314760766. The mailing address for Victor James Goldman is 1050 Hallock Ave, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Victor James Goldman |
|---|---|
| Address | 1050 Hallock Ave, Port Jefferson Stati, New York |
| Phone Number | 6319284114 |
| Fax Number | 6314760766 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1104866094 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1050 Hallock Ave |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 117761214 |
| Phone Number | 6319284114 |
| Fax Number | 6314760766 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSWR011981 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Victor James Goldman by the Centers for Medicare & Medicaid Services?
The Victor James Goldman has been issued the NPI (National Provider Identifier) 1104866094 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Victor James Goldman is physically located?
The Victor James Goldman is physically situated at the following address: 1050 Hallock Ave, Port Jefferson Stati, NY, 117761214.
What is Victor James Goldman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Victor James Goldman's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1104866094 assigned to Victor James Goldman?
The Victor James Goldman was issued its 1104866094 on 2006-06-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Victor James Goldman most recently updated?
The details pertaining to the Victor James Goldman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX