Roslyn Marie Goldner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR00186101 Issued in NY

Practice address

25 Rivers Dr
Great Neck, NY 11020

Phone

(516) 487-8383

Fax

(516) 773-3606

NPI assigned

Nov 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 2

Addresses

Other identifiers 2

Other names 1

• Rose M Blum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1295804383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RIVERS DR.",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11020",
            "telephone_number": "516-487-8383",
            "fax_number": "516-773-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 RIVERS DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11020",
            "telephone_number": "516-487-8383",
            "fax_number": "516-773-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDNER",
        "first_name": "ROSLYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "PR00186101",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR00186101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "108174",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0023660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "BLUM",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ariel Tenny Goldman, M.D.
• Benjamin Goldman, MD
• Deberah S Goldman, PH.D
• Gary M Goldman, PSYD
• Shahnaz Goldman, LCSW, CPP
• Elliot Goldofsky, M.D.
• Leonard Barry Goldstein, DDS, PHD
• Matthew Jason Goldstein, M.D.
• Michael Joel Goldstein, M.D.
• Rebecca Goldstein, MD

• Clinical Social Worker in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.