Dale L Goldstein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R026286 Issued in NY

Practice address

882 Titus Ave
Rochester, NY 14617-4014

Phone

(585) 544-8124

Fax

(800) 986-3910

NPI assigned

May 22, 2006

Last updated

Jan 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1457305328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 TITUS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146174014",
            "telephone_number": "585-544-8124",
            "fax_number": "800-986-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 TITUS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146174014",
            "telephone_number": "585-544-8124",
            "fax_number": "800-986-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "DALE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R026286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Goldman
• Steven A. Goldman, M.D. PHD
• Louann Patricia Goldsmith
• Shadefai Z Goldsmith, FNP
• Bonnie Goldstein, MSN
• David Goldstein, MD
• Edward Goldstein, RPA-C
• Ellen Goldstein, L.C.S.W.
• Jonathan I. Goldstein, M.D.
• Robert Howard Goldstein, PH.D.

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.