Active NPI
Dale Goldstein, MSW
- Clinical Social Worker
- Brecksville, OH
National Provider Identifier
1649222092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-0003287
- Practice address
- 10000 Brecksville Rd
122B
Brecksville, OH 44141-3204 - Phone
- (440) 526-3030
- Fax
- (440) 546-2729
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-0003287 | OH | Primary |
Addresses
Primary practice location
10000 Brecksville Rd
122B
Brecksville, OH 44141-3204
Mailing address
23451 Hazelmere Rd
Shaker Heights, OH 44122-3124
Phone (216) 921-7124
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 |
|---|---|---|---|
| I-0003287 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psycho Social Therapies,LTD | Clinical | Past | Accepting new patients |
| Psycho Social Therapies,LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Beachwood, OH
- NPI 1750335261
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beachwood, OH
- NPI 1902462906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649222092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23451 HAZELMERE RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441223124",
"telephone_number": "216-921-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 BRECKSVILLE RD",
"address_2": "122B",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413204",
"telephone_number": "440-526-3030",
"fax_number": "440-546-2729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "DALE",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-0003287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.