Individual provider Active NPI

Patricia Alice Goldstein, LCSW, RPT

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1033246590
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003514 Issued in NC
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6002929MedicaidNC

Other names 1

  • Ms. Pat Goldstein Professional name

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

LicenseStateTypeSpecialty
C003514NCMDClinical 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.

Verify at the official NPI Registry.