Individual provider Active NPI

Alexander Goitein, LCSW, PPSC, BCBA

  • School Social Worker
  • Healdsburg, CA
National Provider Identifier
1407297377
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
PPSC-200145814 Issued in CA
Practice address
1028 Prince Ave
Healdsburg, CA 95448-3596
Phone
(707) 431-3488
NPI assigned
Jul 8, 2013
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 82400 CA
School Social Worker 1041S0200X PPSC-200145814 CA Primary
Behavior Analyst 103K00000X 1-14-17837 CA

Addresses

Primary practice location

1028 Prince Ave
Healdsburg, CA 95448-3596

Mailing address

3808 Zieber Rd
Santa Rosa, CA 95404-2636
Phone (707) 575-3290

Other names 1

  • Alex Goitein Other name

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
PPSC-200145814CAMDSchool Social Worker
82400CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healdsburg Unified School District PastSince Jun 11, 2023 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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1407297377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 ZIEBER RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042636",
            "telephone_number": "707-575-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 PRINCE AVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483596",
            "telephone_number": "707-431-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOITEIN",
        "first_name": "ALEXANDER",
        "credential": "LCSW, PPSC, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82400",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "PPSC-200145814",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-17837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "GOITEIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Healdsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.