Colleen Golden-Bock, LCSW, ACSW, ACHP-SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73-075544 Issued in NY

Practice address

1983 Marcus Ave
New Hyde Park, NY 11042-2000

Phone

(516) 662-7135

NPI assigned

Jan 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1023430188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 PLANDOME RD STE 165",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422000",
            "telephone_number": "516-662-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN-BOCK",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, ACSW, ACHP-SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73-075544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avram Goldberg, MD
• Gabrielle R Goldberg
• Julia Louise Goldberg, MD
• Tracie Alison Goldberg, MD
• Golden Oak Medical LLC
• Barbara Golden, NP
• Jonathan Golden, MD
• Nirmala Golder, MS,RD, CDN
• Andrew Goldfarb, M.D.
• Mark Goldin, M.D.

• Clinical Social Worker in New Hyde Park, NY
• Providers in New Hyde Park, 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 Jun 15, 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.