Leslie G Goldberg, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

86230 Issued in MA

Practice address

1030 Turnpike St
Canton, MA 02021-2827

Phone

(781) 828-8666

Fax

(781) 575-1795

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• South Shore Center for Guidance & Counseling

  • Mental Health Counselor
  • Canton, MA
  • NPI 1497837256
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467531269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROSE COURT WAY",
            "city": "EAST WALPOLE",
            "state": "MA",
            "postal_code": "020321184",
            "telephone_number": "508-660-6620",
            "fax_number": "508-660-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 TURNPIKE ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212827",
            "telephone_number": "781-828-8666",
            "fax_number": "781-575-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "LESLIE",
        "middle_name": "G",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "86230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghazwan Ghazi, DMD
• Peggy Gildersleeve, NP
• Clare Marie Gill
• Richard Francis Goggin, LICSW
• Aleksandra Golberg, MSPT
• Robert Myles Golden, O.D.
• Samantha Ruth Goldfrad, MSW, LCSW, LICSW
• Marci L Goldowsky, CCC-SLP
• Barbara Lee Goldstein, MD
• Darius Isaiah Gomes

• Clinical Social Worker in Canton, MA
• Providers in Canton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.