Phyllis Goldberg, MSW LICSW DCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013788 Issued in 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

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Psycare Solutions Inc

  • Clinical Psychologist
  • Elkins Park, PA
  • NPI 1316003270
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154433639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 OLD YORK ROAD",
            "address_2": "SUITE 12",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "19027",
            "telephone_number": "215-885-9700",
            "fax_number": "215-886-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 NORTH BETHLEHEM PIKE",
            "address_2": "2ND FLOOR",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "19477",
            "telephone_number": "215-885-9700",
            "fax_number": "215-886-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "PHYLLIS",
        "credential": "MSW LICSW DCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Leigh Earnshaw, RN
• Germin Farag
• Jennifer Filip, PA-C, MS
• Sarah Frazier, PHARMD
• Geriatric and Medical Services Inc. (Silver Stream Center)
• Gomberg Psychiatric Associates, Inc.
• Lindsay Ariel Goodstein
• Christopher W Grala, PSY.D.
• Norman J Graulich, DMD
• Daniel Michael Green, RPH

• Clinical Social Worker in Spring House, PA
• Providers in Spring House, PA by specialty
• Clinical Social Worker in Pennsylvania

• 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.