Gary Jeffrey Goldberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00186700 Issued in NJ

Practice address

900 Route 168 Ste D1
Turnersville, NJ 08012-3207

Phone

(856) 228-1005

NPI assigned

May 10, 2019

Last updated

May 10, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Total Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Voorhees, NJ
  • NPI 1528592953
  NPD
• St Remi LLC

  • Adult Mental Health Clinic/Center
  • Marlton, NJ
  • NPI 1689240483
  NPD (past)
• Total Family Solutions, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Avenel, NJ
  • NPI 1740691443
  NPD (past)

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1255997714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SOCIETY HILL BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032415",
            "telephone_number": "609-670-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 168 STE D1",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123207",
            "telephone_number": "856-228-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "GARY",
        "middle_name": "JEFFREY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00186700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George J. Petruncio, M.D., P.a.
• Angie Giang
• Wesley Giang
• Elaine Gismondi, BA
• David Gold, PT
• Ingrid Gooden
• Samuel B. Green, PA-C
• Jennifer L Greenhalgh, BS
• Tina Groch
• Sandra Grossman, M.D

• Clinical Social Worker in Turnersville, NJ
• Providers in Turnersville, 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 May 10, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.