Judy Goldman, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CW015581 Issued in PA

Practice address

10 Heights Dr
Wyoming, PA 18644-9347

Phone

(570) 696-6890

Fax

(570) 696-6890

NPI assigned

Mar 25, 2016

Sex

Female

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Monmouth Integrative Counseling Services, LLCGroup PAC ID 3173948122, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Monmouth Integrative Counseling Services, LLC

  • Clinical Social Worker
  • Manasquan, NJ
  • NPI 1265081921
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1487016663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HEIGHTS DR",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186449347",
            "telephone_number": "570-696-6890",
            "fax_number": "570-696-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HEIGHTS DR",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186449347",
            "telephone_number": "570-696-6890",
            "fax_number": "570-696-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "JUDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW015581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Ford, MSPT
• Erica Gallagher
• Malane Patrice Gallagher, THERAPIST
• Olivia Susan Gatto, LCSW
• Jessica Gibbon
• Greg T. Evans DPM PC
• Kelsey Elizabeth Harth
• Kelsey Sueann Hartman
• Hilary Hazus, L.M.T.
• Mark Anthony Hilinski, DMD

• Mental Health Counselor in Wyoming, PA
• Providers in Wyoming, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.