Leah Gina Goldenberg

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW228958 Issued in MA

Practice address

300 Baker Ave Ste 300
Concord, MA 01742-2124

Phone

(864) 336-2731

Fax

(833) 740-3387

NPI assigned

Apr 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Familywell PLLC

  • Clinical Social Worker
  • Concord, MA
  • NPI 1396524005
  NPD
• Familywell PLLC

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1174384572
  NPD

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1043065386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 OAKLAND ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815323",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAKER AVE STE 300",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422124",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "LEAH",
        "middle_name": "GINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW228958",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LCSW228958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Geneva Gnagey, CRNA
• Deborah Troth Gobetz, MD
• Miriam Gofseyeff, PH.D.
• Julie Goldberg, M.S., CCC-A
• Norman Leon Goldberg, DMD
• Kaiyah Goldsmith
• Ronni Lisa Goldsmith, MD
• Jessica Goncalves, M.S.
• Melinda Gonyea
• Jashua M Gonzalez

• Clinical Social Worker in Concord, MA
• Providers in Concord, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.