Peter Golboro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05974800 Issued in NJ

Practice address

1 Mall Dr Ste 925
Cherry Hill, NJ 08002-2110

Phone

(717) 850-8720

NPI assigned

Feb 12, 2019

Last updated

Feb 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1255897518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E BROWNING RD APT 2A",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081127",
            "telephone_number": "610-787-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MALL DR STE 925",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022110",
            "telephone_number": "717-850-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBORO",
        "first_name": "PETER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06262500",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW133566",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05974800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janusz Godyn
• Ravi D Goel, M.D.
• Naomi Elizabeth Goetz
• Jacquelyn Sarah Gola
• Jennifer Amanda Gola, PSY.D
• Alyssa Gold, MA, CCC-SLP
• Susan Gold, LPC
• Eric Marshall Goldberg, PT,DPT,CSCS
• Linda Beth Goldberg, MSW,LCSW
• Mindy E Goldberger, PT

• Clinical Social Worker in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.