Active NPI
Marjorie Goldin, LCSW
- School Social Worker
- Holtsville, NY
National Provider Identifier
1659663516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 5423760
- Practice address
- 50 Spence Avenue
Tamarac Elementary School
Holtsville, NY 11742-1929 - Phone
- (631) 244-5680
- NPI assigned
- May 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 5423760 | NY | Primary |
Addresses
Primary practice location
50 Spence Avenue
Tamarac Elementary School
Holtsville, NY 11742-1929
Mailing address
74 Deforest Rd
Dix Hills, NY 11746-4809
Phone (631) 499-8322
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5423760 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1659663516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 DEFOREST RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117464809",
"telephone_number": "631-499-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SPENCE AVENUE",
"address_2": "TAMARAC ELEMENTARY SCHOOL",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117421929",
"telephone_number": "631-244-5680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDIN",
"first_name": "MARJORIE",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "5423760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holtsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.