Phyllis Goldberg, MSW LICSW DCSW
Individual provider Active NPI Clinical Social Worker · Spring House, PA
NPI 1154433639 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154433639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CW013788 (PA)
- Practice address
- 921 North Bethlehem Pike
2ND Floor
Spring House, PA 19477 - Phone
- (215) 885-9700
- Fax
- (215) 886-7678
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW013788 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psycare Solutions Inc | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW013788 | PA | Yes |
Addresses
Primary practice location
921 North Bethlehem Pike
2ND Floor
Spring House, PA 19477
Mailing address
8302 Old York Road
Suite 12
Elkins Park, PA 19027
Phone (215) 885-9700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018503 | Other | CIGNA | |
| 094774 | Other | CA | MHW |
Other providers in Spring House, PA
- Linda Leigh Earnshaw
- Germin Farag
- Jennifer Filip
- Sarah Frazier
- Geriatric and Medical Services Inc.
- Gomberg Psychiatric Associates, Inc.
- Lindsay Ariel Goodstein
- Christopher W Grala
- Norman J Graulich
- Daniel Michael Green
All providers in Spring House, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.