Ayelet P Goldberg, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082421 Issued in NY

Legal business name

AYELET P GOLDBERG, LCSW, PLLC

Practice address

6143 186TH St Ste 312
Fresh Meadows, NY 11365-2710

Phone

(917) 923-7644

NPI assigned

Oct 27, 2016

Last updated

Apr 16, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ayelet P Goldberg, LCSWNPI 1407146285

Title

Social Worker

Phone

(917) 923-7644

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ayelet Pelman Goldberg, LCSW, MFT

  • Social Worker
  • Fresh Meadows, NY
  • NPI 1407146285
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1003368879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 186TH ST STE 312",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652710",
            "telephone_number": "917-923-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 186TH ST STE 312",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652710",
            "telephone_number": "917-923-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYELET P GOLDBERG, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "AYELET",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "917-923-7644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Avizova, FNP
• Bella Avulova
• Bernadette Ayala, RN
• Gabriela Elizabeth Ayala
• Gladys Ayala
• Ahmad John Azizi
• Daniel Azof, MD
• B & Y Kids Resources LLC
• Artur Bababekov, DDS
• Nadezhda Bababekova

• Clinical Social Worker in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.