Active NPI
Cori Megan Goldstein, LCSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1396982062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006255
- Practice address
- 3937 Western Blvd
Raleigh, NC 27606-1936 - Phone
- (919) 821-0790
- Fax
- (919) 518-9476
- NPI assigned
- Jan 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006255 | NC | Primary |
Addresses
Primary practice location
3937 Western Blvd
Raleigh, NC 27606-1936
Mailing address
3937 Western Blvd
Raleigh, NC 27606-1936
Phone (919) 821-0790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C006255 | Other | NC | NC STATE LICENSE |
| 6007245 | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1396982062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3937 WESTERN BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276061936",
"telephone_number": "919-821-0790",
"fax_number": "919-518-9476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3937 WESTERN BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276061936",
"telephone_number": "919-821-0790",
"fax_number": "919-518-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "CORI",
"middle_name": "MEGAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-16",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE LICENSE",
"identifier": "C006255",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007245",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.