Active NPI
Ellen Margaret Goldwasser, LCSW
- Clinical Social Worker
- Chamblee, GA
National Provider Identifier
1497386080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW008407
- Practice address
- 5134 Peachtree Rd
Chamblee, GA 30341-2724 - Phone
- (678) 872-7100
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2015012173 | MO | |
| Clinical Social Worker | 1041C0700X | CSW008407 | GA | Primary |
| Clinical Social Worker | 1041C0700X | 88593 | CA |
Addresses
Primary practice location
5134 Peachtree Rd
Chamblee, GA 30341-2724
Mailing address
1530 F St Unit 301
Sacramento, CA 95814-1676
Phone (314) 699-4216
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015012173 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1497386080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 F ST UNIT 301",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958141676",
"telephone_number": "314-699-4216",
"fax_number": "949-404-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5134 PEACHTREE RD",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303412724",
"telephone_number": "678-872-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDWASSER",
"first_name": "ELLEN",
"middle_name": "MARGARET",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2015012173",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW008407",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "88593",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.