Individual provider Active NPI

Michael Goldman, MSW, LCSW

  • Clinical Social Worker
  • Summit, NJ
National Provider Identifier
1326344649
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05460100 Issued in NJ
Practice address
86 Summit Ave
Summit, NJ 07901-3647
Phone
(908) 273-5558
NPI assigned
Feb 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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 44SC05460100 NJ Primary

Addresses

Primary practice location

86 Summit Ave
Summit, NJ 07901-3647

Mailing address

37 Maple St Ste 4
Summit, NJ 07901-2529
Phone (908) 473-9964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000552 NJ Practitioner - Clinical Social Worker 4284803040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

37 Maple St
Suite 4
Summit, NJ 07901-2529
Phone (908) 473-9964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Om Psychological Services CurrentSince Nov 30, 2025 Accepting new patients
Goldman Clinical Services, LLC Clinical CurrentSince Jan 1, 2022 Accepting new patients

Locations

37 Maple St
Ste 4
Summit, NJ 07901
Phone (908) 473-9964

482 Springfield Ave
Fl 2
Summit, NJ 07901
Phone (908) 273-5558

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": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1326344649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MAPLE ST STE 4",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012529",
            "telephone_number": "908-473-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013647",
            "telephone_number": "908-273-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-03",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05460100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.