Individual provider Active NPI

Helen Goldberg, LICENSED CLINICAL SO

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1497815591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0086821 Issued in NY
Practice address
525 West End Avenue
1D
New York, NY 10024-3207
Phone
(212) 877-0544
Fax
(212) 877-0544
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR0086821 NY Primary

Addresses

Primary practice location

525 West End Avenue
1D
New York, NY 10024-3207

Mailing address

525 West End Avenue
1F
New York, NY 10024-3207
Phone (212) 877-0544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040624000950 NY Practitioner - Clinical Social Worker 6204812068 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

525 W End Ave
1D
New York, NY 10024-3207
Phone (212) 877-0544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR0086821NYMDClinical Social Worker
008682NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497815591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WEST END AVENUE",
            "address_2": "1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243207",
            "telephone_number": "212-877-0544",
            "fax_number": "212-877-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WEST END AVENUE",
            "address_2": "1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243207",
            "telephone_number": "212-877-0544",
            "fax_number": "212-877-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "LICENSED CLINICAL SO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0086821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.