Individual provider Active NPI

Marian F. Goldstine, LCSW

  • Clinical Social Worker
  • State College, PA
National Provider Identifier
1346317021
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013735 Issued in PA
Practice address
204 E Calder Way
Suite 301
State College, PA 16801-4756
Phone
(814) 867-4800
Fax
(814) 206-7300
NPI assigned
Nov 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW013735 PA Primary

Addresses

Primary practice location

204 E Calder Way
Suite 301
State College, PA 16801-4756

Mailing address

1639 Glenwood Cir
State College, PA 16803-3230
Phone (814) 234-1359

Other identifiers 1

IdentifierTypeStateIssuer
CW013735OtherPALICENSED CLINICAL SOCIAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013735PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
J Cohn Psychotherapy PLLC PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346317021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 GLENWOOD CIR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033230",
            "telephone_number": "814-234-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CALDER WAY",
            "address_2": "SUITE 301",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014756",
            "telephone_number": "814-867-4800",
            "fax_number": "814-206-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTINE",
        "first_name": "MARIAN",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL",
            "identifier": "CW013735",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.