Athena Wind Goldberg

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3576 Issued in OR

Practice address

18 Myrtle St
Suite 102
Medford, OR 97504-7471

Phone

(541) 245-5577

NPI assigned

Nov 8, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Athena Wind Goldberg-Johns Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679554463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 MILFORD DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014348",
            "telephone_number": "541-772-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MYRTLE ST",
            "address_2": "SUITE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047471",
            "telephone_number": "541-245-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ATHENA",
        "middle_name": "WIND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATHENA",
            "last_name": "GOLDBERG-JOHNS",
            "middle_name": "WIND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily E Goemaat, FNP-C
• Juliani D Goenawan, DDS
• Anne M Goff, M.S. C.C.C. SLP
• William David Goforth, DPM
• Gold Hill Health PC
• Deidre Goldberg, FNP
• Golden Rule Reentry
• George Leroy Golden
• Stephanie Lynn Golden
• Ira Mark Goldfarb, PHARMD

• Clinical Social Worker in Medford, OR
• Providers in Medford, 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.