Benjamin Fulmer Goldrich, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2583 Issued in NH

Practice address

8 Greenleaf Woods Dr
Portsmouth, NH 03801-5436

Phone

(603) 422-8208

Fax

(603) 422-8218

NPI assigned

Jun 15, 2015

Last updated

Jul 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Seacoast Community HealthGroup PAC ID 2769454974, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greater Seacoast Community Health

  dba Goodwin Community Health

  • Federally Qualified Health Center (FQHC)
  • Somersworth, NH
  • NPI 1578854287
  Medicare reassignment Care Compare group NPD
• Greater Seacoast Community Health

  • Federally Qualified Health Center (FQHC)
  • Somersworth, NH
  • NPI 1235815309
  NPD
• Greater Seacoast Community Health

  dba Families First Health & Support Center

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, NH
  • NPI 1881978658
  NPD

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1245611359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ROUTE 108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781522",
            "telephone_number": "603-953-0065",
            "fax_number": "603-953-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GREENLEAF WOODS DR",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015436",
            "telephone_number": "603-422-8208",
            "fax_number": "603-422-8218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Route 108",
            "address_purpose": "LOCATION",
            "city": "Somersworth",
            "state": "NH",
            "postal_code": "038781119",
            "country_code": "US",
            "telephone_number": "603-953-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Route 108",
            "address_purpose": "LOCATION",
            "city": "Somersworth",
            "state": "NH",
            "postal_code": "038781119",
            "country_code": "US",
            "telephone_number": "603-953-0077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDRICH",
        "first_name": "BENJAMIN",
        "middle_name": "FULMER",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0583",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14208886",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Gokhman, M.D., PH.D
• David A Goldberg, PT
• Karen E Goldberg, PT
• Warren Goldblatt, M.D.
• Sarah Goldman
• Joshua Goldsmith, DO
• Jennifer Anne Golia
• Julie Johnston Golkowski, LCMHC
• Anath Chana Golomb, PH.D.
• Jennifer Gonchar, PT, DPT

• Clinical Social Worker in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.