Alla Golburt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05366800 Issued in NJ

Practice address

33-11 Broadway
Fair Lawn, NJ 07410-4634

Phone

(201) 794-9797

Fax

(646) 619-4299

NPI assigned

Aug 11, 2009

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metropolitan Mental Health

  • Mental Health Counselor
  • Fair Lawn, NJ
  • NPI 1043581267
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1265664106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BREARLY CRES",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103553",
            "telephone_number": "201-791-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-11 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104634",
            "telephone_number": "201-794-9797",
            "fax_number": "646-619-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBURT",
        "first_name": "ALLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05366800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Go PT 1, LLC
• Richa Goel, MD
• Sweta Goel, MD
• Zhanna Goland, DC
• Jennifer Golba, LCSW, LCADC
• David A Gold, M.D.
• Danielle Goldberg, RDN, CDCES
• Phyllis Goldberg, LCSW
• Golden Care Plus Inc
• Janet Goldrin

• Clinical Social Worker in Fair Lawn, NJ
• Providers in Fair Lawn, 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 Aug 11, 2009; 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.