Stefanie Irene Goldman, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009546 Issued in NC

Practice address

124 Winchester Ave
Suite B
Monroe, NC 28110-3000

Phone

(704) 750-5216

NPI assigned

Aug 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serenity Space Counseling, PLLC

  • Clinical Social Worker
  • Matthews, NC
  • NPI 1851773360
  NPD

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1669804423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WINCHESTER AVE",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103000",
            "telephone_number": "704-750-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WINCHESTER AVE",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103000",
            "telephone_number": "704-750-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "STEFANIE",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Robinson Glass, PHARMD
• L'Oreal Carson Dunn Glenn, LCSW
• Leary Glover, RN
• Olga Gnatyuk, RPH
• Godel & Associates IV PLLC
• Catherine Gomez Mendez, LCSWA
• Alexis Gonzalez
• Shantivia Boneparte Goodwin
• Jessica Gordon, OTR/L
• Timothy Gosnell, PT, DPT

• Clinical Social Worker in Monroe, NC
• Providers in Monroe, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.