Charley Rowynne Uttal Goldman, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC200001390 Issued in DC

Practice address

3400 Martin Luther King Jr Ave SE
Washington, DC 20032-1542

Phone

(202) 724-7666

NPI assigned

Aug 29, 2019

Sex

Male

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.

• Ze'Ev Goldman, Licsw PLLC

  • Clinical Social Worker
  • Washington, DC
  • NPI 1154071116
  NPD Authorized official
• Latin American Youth Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1598805335
  NPD (past)
• Latin American Youth Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1851830665
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1568010924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 DEXTER TER SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205204",
            "telephone_number": "202-507-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200321542",
            "telephone_number": "202-724-7666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 Dexter Ter SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200205204",
            "country_code": "US",
            "telephone_number": "202-507-3597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "CHARLEY",
        "middle_name": "ROWYNNE UTTAL",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200001390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Goldenhorn, PHARMD
• Anna Goldfarb
• Victoria J Goldhammer, OTR
• Priscilla Goldie, MD
• Vennice Golding
• Christopher J Goldman, MS, ATC, NCSF
• Jennifer Goldman, OTR/L
• Lynn Rose Goldman, MD
• Ruth H Goldman
• Sarah Bellovin Goldman, PH.D.

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.