Samantha Goldberg

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020083 Issued in PA

Practice address

101 Bradford Rd Ste 330
Wexford, PA 15090-6938

Phone

(724) 777-1433

NPI assigned

Jul 29, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 29, 2020 through Nov 29, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Open Space Counseling, Consulting & Wellness

  • Clinical Social Worker
  • Wexford, PA
  • NPI 1972157006
  NPD Authorized official
• The Open Space Group LLC

  • Mental Health Counselor
  • Pittsburgh, PA
  • NPI 1992634745
  NPD Authorized official

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1316322589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRADFORD RD STE 330",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906938",
            "telephone_number": "724-777-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRADFORD RD STE 330",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906938",
            "telephone_number": "724-777-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020083",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Godula, M.S. CCC-SLP
• Kelsey Nicole Goetz
• Tina Marie Goff
• Dominick Francis Goldbach, PT, DPT
• Hannah Goldberg-O'Neil
• David Meyer Goldstein, M.D.
• Sara Catherine Goncz, MA
• Stacie A Gopal, PA
• James Gordish, PT
• Alicja Gorecka-Tisera, O.T.

• Clinical Social Worker in Wexford, PA
• Providers in Wexford, 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 Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.