Individual provider Active NPI

Victoria Goldenberg, MA, LCSW

  • Clinical Social Worker
  • Garden City, NY
National Provider Identifier
1447635909
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088706 Issued in NY
Practice address
520 Franklin Ave Ste L21A
Garden City, NY 11530-5801
Phone
(347) 927-9442
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05812800 NJ
Social Worker 104100000X 095276 NY
Clinical Social Worker 1041C0700X SW15807 FL
Clinical Social Worker 1041C0700X 088706 NY Primary

Addresses

Primary practice location

520 Franklin Ave Ste L21A
Garden City, NY 11530-5801

Mailing address

2170 E 66TH St
Brooklyn, NY 11234-6324
Phone (347) 733-2424

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
095276NYMDSocial Worker
SW15807FLMDClinical Social Worker
44SC05812800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Goldenberg Therapy LCSW, PLLC CurrentSince May 9, 2021 Accepting new patients

Locations

520 Franklin Ave
Ste L21A
Garden City, NY 11530
Phone (347) 927-9442

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1447635909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 E 66TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346324",
            "telephone_number": "347-733-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE L21A",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305801",
            "telephone_number": "347-927-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "VICTORIA",
        "credential": "MA, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05812800",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095276",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15807",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.