Penny J Goldberg, M.S.S. L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013633 Issued in PA

Practice address

508 Prescott Rd
Merion Station, PA 19066-1041

Phone

(610) 667-0112

Fax

(484) 615-6080

NPI assigned

Feb 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1275505075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 PRESCOTT RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661041",
            "telephone_number": "610-667-0112",
            "fax_number": "484-615-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 PRESCOTT RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661041",
            "telephone_number": "610-667-0112",
            "fax_number": "484-615-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "PENNY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.S.S. L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B NON-PHYSICIAN SPECIALTIES",
            "identifier": "742870",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meira Malka Friedman, M.D.
• S. Dovid Friedman, DMD
• Marian Genkin
• Sheri Glantz
• Miriam Glick
• Edward P Gorrie, MD
• Megan Kathleen Gouda, PTA
• Samantha Haley
• Larry David Halper, PHARMACIST
• Louise Helen Haneman, L.C.S.W.

• Clinical Social Worker in Merion Station, PA
• Providers in Merion Station, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.