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

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, LCSW

Title

Social Worker

Phone

(917) 923-7644

Specialties & licenses 1

Addresses

Locations

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": []
}

• Avi Pandey, M.D., PC.
• Diana Avizova, FNP
• Bella Avulova
• Bernadette Ayala, RN
• 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.