Individual provider Active NPI

Debra Lorraine Goldman-Hall, LCSW

  • Clinical Social Worker
  • Milpitas, CA
National Provider Identifier
1184783995
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 13320 Issued in CA
Practice address
770 E Calaveras Blvd
Kaiser Permanente Women'S Health
Milpitas, CA 95035-5491
Phone
(408) 945-2098
Fax
(408) 945-5013
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
No

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
Clinical Social Worker 1041C0700X LCS 13320 CA Primary

Addresses

Primary practice location

770 E Calaveras Blvd
Kaiser Permanente Women'S Health
Milpitas, CA 95035-5491

Mailing address

770 E Calaveras Blvd
Kaiser Permanente Women'S Health
Milpitas, CA 95035-5491
Phone (408) 945-2098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 13320CAMDClinical Social Worker
13320CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184783995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E CALAVERAS BLVD",
            "address_2": "KAISER PERMANENTE WOMEN'S HEALTH",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355491",
            "telephone_number": "408-945-2098",
            "fax_number": "408-945-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E CALAVERAS BLVD",
            "address_2": "KAISER PERMANENTE WOMEN'S HEALTH",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355491",
            "telephone_number": "408-945-2098",
            "fax_number": "408-945-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN-HALL",
        "first_name": "DEBRA",
        "middle_name": "LORRAINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 13320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • 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.