Individual provider Active NPI

Dana Goldberg, LCSW-R

  • Clinical Social Worker
  • East Meadow, NY
National Provider Identifier
1316397904
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086900 Issued in NY
Practice address
2545 Hempstead Tpke Ste 105
East Meadow, NY 11554-2147
Phone
(347) 509-9040
NPI assigned
Jun 15, 2016
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 092679 NY
Clinical Social Worker 1041C0700X 086900 NY Primary

Addresses

Primary practice location

2545 Hempstead Tpke Ste 105
East Meadow, NY 11554-2147

Mailing address

2545 Hempstead Tpke Ste 105
East Meadow, NY 11554-2147
Phone (347) 509-9040

Other practice location 1

52 Midwood Ave
Farmingdale, NY 11735-5351
Phone (347) 509-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 30, 2024 through Sep 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092679NYMDSocial Worker
086900NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Goldberg LCSW PC Clinical PastSince Jan 15, 2023 Accepting new patients
Douglas a. Byrnes, MD, PC PastSince Nov 12, 2007 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1316397904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 HEMPSTEAD TPKE STE 105",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542147",
            "telephone_number": "347-509-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 HEMPSTEAD TPKE STE 105",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542147",
            "telephone_number": "347-509-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Midwood Ave",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117355351",
            "country_code": "US",
            "telephone_number": "347-509-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "DANA",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092679",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.