Active NPI
Marilyn Renee' Goldman, LCSW-C, LISW-CP
- Clinical Social Worker
- Simpsonville, SC
National Provider Identifier
1285650762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12636
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y337 | Other | MD | CAREFIRST BLUECHOICE |
| 3507885 | Other | MD | CIGNA-HEALTHSPRING |
| 732359 | Other | MD | BEACON HEALTH OPTIONS |
| 000641760 | Other | MD | OPTUM BEHAVIORAL HEALTH |
| 600010741 | Other | MD | MAGELLAN HEALTHCARE |
| C7WFMR | Other | MD | CAREFIRST BLUECROSS BLUESHIELD |
| 3846185 | Other | MD | CIGNA |
Other names 1
- Marilyn Renee' Plastrik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12412 | MD | MD | Dentist |
| 12636 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodhi Psychotherapy and Consulting, LLC | Clinical | Current | Accepting new patients |
| Medop Behavioral Health Associates of Maryland PC | Clinical | Past | 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.
-
- Clinical Social Worker
- Simpsonville, SC
- NPI 1578028106
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1447203963
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.