NPIMap

Individual provider Active NPI

Raya Goldenberg, LMSW ACSW

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1649458266
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801011047 Issued in MI
Practice address
625 E Big Beaver Rd
101
Troy, MI 48083-1426
Phone
(248) 740-9360
Fax
(248) 740-9374
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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 6801011047 MI Primary

Addresses

Primary practice location

625 E Big Beaver Rd
101
Troy, MI 48083-1426

Mailing address

625 E Big Beaver Rd
101
Troy, MI 48083-1426
Phone (248) 740-9360

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Behavioral Medicine PLLC Past Accepting new patients
David Gurevitch MD PC Past Accepting new patients
Mind & Mood Clinic, PLLC Clinical Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1649458266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E BIG BEAVER RD",
            "address_2": "101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831426",
            "telephone_number": "248-740-9360",
            "fax_number": "248-740-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E BIG BEAVER RD",
            "address_2": "101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831426",
            "telephone_number": "248-740-9360",
            "fax_number": "248-740-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "RAYA",
        "name_prefix": "Ms.",
        "credential": "LMSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801011047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.