Individual provider Active NPI

Michael S Goldfaden, LCSW-C

  • Addiction (Substance Use Disorder) Counselor
  • Annapolis, MD
National Provider Identifier
1366826083
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
AC0574 Issued in MD
Practice address
2610 Greenbriar LN
Annapolis, MD 21401-4424
Phone
(410) 269-5605
Fax
(410) 268-6965
NPI assigned
Jul 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29509 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X AC0574 MD Primary

Addresses

Primary practice location

2610 Greenbriar LN
Annapolis, MD 21401-4424

Mailing address

2610 Greenbriar LN
Annapolis, MD 21401-4424
Phone (410) 991-3292

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC0574MDMDAddiction (Substance Use Disorder) Counselor
29509MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan House Inc. Addiction (Substance Use Disorder) PastSince Dec 14, 2025 Accepting new patients
Samaritan House Inc. PastSince Dec 14, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1366826083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 GREENBRIAR LN",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014424",
            "telephone_number": "410-991-3292",
            "fax_number": "410-268-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 GREENBRIAR LN",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014424",
            "telephone_number": "410-269-5605",
            "fax_number": "410-268-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFADEN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "29509",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "AC0574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.