Wendi Goldberg, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008816 Issued in GA

Practice address

4549 Chamblee Dunwoody Rd
Atlanta, GA 30338-6210

Phone

(770) 677-9300

Fax

(470) 253-0322

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1083199855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 CHAMBLEE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386210",
            "telephone_number": "770-677-9300",
            "fax_number": "470-253-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4549 CHAMBLEE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386210",
            "telephone_number": "770-677-9300",
            "fax_number": "470-253-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "WENDI",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Samantha Goldberg, MS
• Hilary Goldberg
• Jodi Goldberg
• Lindsey Goldberg, CPNP
• Stefan Vincent Goldberg, MD
• Anat Goldblum, M.S., LPC, NCC
• Goldcanine Professional Corporation
• Andrew R Golde, MD
• Golden Age Transport
• Golden Care Medical Transport Corp

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.