Active NPI
Patricia Alice Goldstein, LCSW, RPT
- Clinical Social Worker
- New Bern, NC
National Provider Identifier
1033246590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003514
- Practice address
- 2316 Wild Turkey Rd
New Bern, NC 28562-9187 - Phone
- (252) 637-3798
- NPI assigned
- Feb 28, 2007
- 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 | C003514 | NC | Primary |
Addresses
Primary practice location
2316 Wild Turkey Rd
New Bern, NC 28562-9187
Mailing address
PO Box 156
Alliance, NC 28509-0156
Phone (252) 637-3798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002929 | Medicaid | NC |
Other names 1
- Ms. Pat Goldstein
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003514 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033246590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 156",
"city": "ALLIANCE",
"state": "NC",
"postal_code": "285090156",
"telephone_number": "252-637-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 WILD TURKEY RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285629187",
"telephone_number": "252-637-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "PATRICIA",
"middle_name": "ALICE",
"name_prefix": "Ms.",
"credential": "LCSW, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002929",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAT",
"last_name": "GOLDSTEIN",
"prefix": "MS.",
"credential": "LCSW, RPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.