Active NPI
Joshua Aaron Goldstein
- Clinical Social Worker
- Anchorage, AK
National Provider Identifier
1023523453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3000 C St Ste 202
Anchorage, AK 99503-3975 - Phone
- (907) 729-8558
- NPI assigned
- Dec 7, 2017
- Reactivated
- Jan 16, 2019
- Last updated
- Jan 26, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NY | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
3000 C St Ste 202
Anchorage, AK 99503-3975
Mailing address
3000 C St Ste 202
Anchorage, AK 99503-3975
Phone (907) 729-8558
Other practice location 1
829 chierf eddie hoffman hwy
bethel, AK 99559-0528
Phone (907) 543-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1717588 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Wellness Journeys | Clinical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Alaska Wellness Journeys, LLC
- Clinical Social Worker
- Palmer, AK
- NPI 1891509345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1023523453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 C ST STE 202",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033975",
"telephone_number": "907-729-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 C ST STE 202",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033975",
"telephone_number": "907-729-8558"
}
],
"practiceLocations": [
{
"address_1": "829 chierf eddie hoffman hwy",
"address_purpose": "LOCATION",
"city": "bethel",
"state": "AK",
"postal_code": "995590528",
"country_code": "US",
"telephone_number": "907-543-6100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "JOSHUA",
"middle_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-07",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"deactivation_date": "2018-11-29",
"reactivation_date": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1717588",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.