Golden Braid Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GOLDEN BRAID THERAPY LLC

Practice address

636 SW 2ND St
Corvallis, OR 97333-4442

Phone

(541) 250-0617

NPI assigned

Oct 14, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tara Nierenberg, LCSWNPI 1730414418

Title

Sole Provider

Phone

(541) 250-0617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Nierenberg, M.S.W.

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1730414418
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1659979326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 SW 2ND ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334442",
            "telephone_number": "541-250-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SW 2ND ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334442",
            "telephone_number": "541-250-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BRAID THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "NIERENBERG",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "SOLE PROVIDER",
        "authorized_official_telephone_number": "541-250-0617",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Ruth Goeden VI, FNP
• James E. Goeke, MD
• Alan Maxwell Goering
• Karina Goicochea, MPH
• Sara Goldberg-Hamblin
• Grace M Golden, ATC
• Ashley Golding
• Jaimie Goldman
• Alan Paul Goldner, M.D.
• Alexander Michael Goldner, PA

• Clinical Social Worker in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.