Individual provider Active NPI

Marilyn Renee' Goldman, LCSW-C, LISW-CP

  • Clinical Social Worker
  • Simpsonville, SC
National Provider Identifier
1285650762
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12636 Issued in SC
Practice address
655H Fairview Rd # 213
Simpsonville, SC 29680-6706
Phone
(864) 757-1095
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12636 SC Primary

Addresses

Primary practice location

655H Fairview Rd # 213
Simpsonville, SC 29680-6706

Mailing address

655H Fairview Rd # 213
Simpsonville, SC 29680-6706
Phone (864) 757-1095

Other identifiers 7

IdentifierTypeStateIssuer
Y337OtherMDCAREFIRST BLUECHOICE
3507885OtherMDCIGNA-HEALTHSPRING
732359OtherMDBEACON HEALTH OPTIONS
000641760OtherMDOPTUM BEHAVIORAL HEALTH
600010741OtherMDMAGELLAN HEALTHCARE
C7WFMROtherMDCAREFIRST BLUECROSS BLUESHIELD
3846185OtherMDCIGNA

Other names 1

  • Marilyn Renee' Plastrik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060301000134 MD Practitioner - Clinical Social Worker 7315953338 Practice locations: Baltimore, MD
I20190617002348 SC Practitioner - Clinical Social Worker 7315953338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

701 Bindon LN
Simpsonville, SC 29680-7326
Phone (864) 757-1095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12412MDMDDentist
12636SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodhi Psychotherapy and Consulting, LLC Clinical CurrentSince Apr 16, 2019 Accepting new patients
Medop Behavioral Health Associates of Maryland PC Clinical PastSince Nov 1, 2006 Accepting new patients

Locations

655 Fairview Rd
Ste H
Simpsonville, SC 29680
Phone (864) 757-1095

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1285650762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655H FAIRVIEW RD # 213",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806706",
            "telephone_number": "864-757-1095",
            "fax_number": "864-578-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655H FAIRVIEW RD # 213",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806706",
            "telephone_number": "864-757-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "MARILYN",
        "middle_name": "RENEE'",
        "credential": "LCSW-C, LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "Y337",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-HEALTHSPRING",
            "identifier": "3507885",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS",
            "identifier": "732359",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM BEHAVIORAL HEALTH",
            "identifier": "000641760",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTHCARE",
            "identifier": "600010741",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS BLUESHIELD",
            "identifier": "C7WFMR",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3846185",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "PLASTRIK",
            "middle_name": "RENEE'",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.