Active NPI
Alyssa Johanna Goldberg, LCSW
- Clinical Social Worker
- Jersey City, NJ
National Provider Identifier
1023773116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06362700
- Practice address
- 100 Hoboken Ave Apt 327
Jersey City, NJ 07310-1158 - Phone
- (443) 690-6613
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06362700 | NJ | Primary |
Addresses
Primary practice location
100 Hoboken Ave Apt 327
Jersey City, NJ 07310-1158
Mailing address
100 Hoboken Ave Apt 327
Jersey City, NJ 07310-1158
Phone (443) 690-6613
Other practice location 1
8 Hillside Ave Ste 105
Montclair, NJ 07042-2129
Phone (551) 227-7556
Other practice location 2
300 Forest Ave
Paramus, NJ 07652-5429
Phone (551) 227-7556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centra Medical Group, LLC | Single Specialty | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1023773116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOBOKEN AVE APT 327",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101158",
"telephone_number": "443-690-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOBOKEN AVE APT 327",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101158",
"telephone_number": "443-690-6613"
}
],
"practiceLocations": [
{
"address_1": "8 Hillside Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "NJ",
"postal_code": "070422129",
"country_code": "US",
"telephone_number": "551-227-7556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Forest Ave",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076525429",
"country_code": "US",
"telephone_number": "551-227-7556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDBERG",
"first_name": "ALYSSA",
"middle_name": "JOHANNA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06362700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.