Active NPI
Paula Rachel Goldberg, LCSW C LICSW
- Social Worker
- Rockville, MD
National Provider Identifier
1629080924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12115
- Practice address
- 6123 Montrose Rd
Rockville, MD 20852 - Phone
- (301) 881-3700
- Fax
- (301) 468-1862
- NPI assigned
- Aug 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12115 | MD | Primary |
| Social Worker | 104100000X | LC50077762 | DC |
Addresses
Primary practice location
6123 Montrose Rd
Rockville, MD 20852
Mailing address
6123 Montrose Rd
Rockville, MD 20852
Phone (301) 881-3700
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593504000 | Other | MD | MAGELLAN |
| 62198701 | Other | MD | BCBS OF MD |
| A2840129 | Other | DC | BCBS OF DC |
| 403336100 | Medicaid | MD | |
| 238149 | Other | MD | KAISER |
| 7866539 | Other | MD | AETNA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12115 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1629080924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6123 MONTROSE RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-881-3700",
"fax_number": "301-468-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6123 MONTROSE RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-881-3700",
"fax_number": "301-468-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "PAULA",
"middle_name": "RACHEL",
"name_prefix": "Ms.",
"credential": "LCSW C LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "12115",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LC50077762",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "593504000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MD",
"identifier": "62198701",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF DC",
"identifier": "A2840129",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403336100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "238149",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7866539",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.