Individual provider Active NPI

Lorraine Susan Goldin, MSW

  • Mental Health Counselor
  • Berkeley, CA
National Provider Identifier
1053495358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS11309 Issued in CA
Practice address
1861 Solano Ave
Suite 202
Berkeley, CA 94707-2306
Phone
(415) 455-8925
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Mental Health Counselor 101YM0800X LCS11309 CA Primary

Addresses

Primary practice location

1861 Solano Ave
Suite 202
Berkeley, CA 94707-2306

Mailing address

1861 Solano Ave
Suite 202
Berkeley, CA 94707-2306
Phone (415) 455-8925

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2015 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS11309CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency PastSince Jan 1, 1990 Accepting new patients
Family Service Agency of Marin Mental Health PastSince Jan 1, 1990 Accepting new patients
Family Service Agency of Marin PastSince Jan 1, 1990 Accepting new patients
Family Service Agency of Marin PastSince Jan 1, 1990 Accepting new patients
Family Service Agency PastSince Jan 1, 1990 Accepting new patients
Family Service Agency of Marin PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053495358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 SOLANO AVE",
            "address_2": "SUITE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072306",
            "telephone_number": "415-455-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 SOLANO AVE",
            "address_2": "SUITE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072306",
            "telephone_number": "415-455-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIN",
        "first_name": "LORRAINE",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS11309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.