Jessica Kirpala Anne Goldberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8795 Issued in FL

Practice address

115 NE 7TH Ave
Gainesville, FL 32601-4391

Phone

(352) 262-5498

NPI assigned

Apr 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1497013874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NE 7TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014391",
            "telephone_number": "352-262-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NE 7TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014391",
            "telephone_number": "352-262-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JESSICA",
        "middle_name": "KIRPALA ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Elizabeth Gold
• Jaana Tuulikki Gold, D.D.S., PH.D.
• Joann Marie Gold, MD
• Mark S Gold, MD
• Elizabeth Jean Goldberg, ARNP
• Penny Lauren Goldberg, PT, ATC
• Patricia Wilkins Goldblatt, M.D.
• Rhonda Golden
• Andrea C Goldenson, PHARM.D.
• Stephen L Goldfaden, DDS

• Clinical Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.