Miriam Goldberg, LCSW, CAMS-II

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4035 Issued in HI

Practice address

3422 Upper St
Honolulu, HI 96815-4337

Phone

(808) 651-6278

Fax

(808) 356-0634

NPI assigned

Jul 28, 2014

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 identifiers 5

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Talk It Out LLC

  • Clinical Social Worker
  • Honolulu, HI
  • NPI 1932625902
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1689082117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 UPPER ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154337",
            "telephone_number": "808-651-6278",
            "fax_number": "808-356-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 UPPER ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154337",
            "telephone_number": "808-651-6278",
            "fax_number": "808-356-0634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1188 Bishop Street",
            "address_2": "Suite 2905",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968133312",
            "country_code": "US",
            "telephone_number": "808-651-6278",
            "fax_number": "808-356-0634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "MIRIAM",
        "credential": "LCSW, CAMS-II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2020-11-16",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER #",
            "identifier": "0000390294",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "818388",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1932625902",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U070996",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL EXCISE",
            "identifier": "GE-005-883-5968-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yong S Goh, MD
• Lynn Y Gokan-Oshiro, SP324
• Kacie Kenko Gokan
• Oguz Ahmet Goknur, L.AC.
• Mitzi Gold, PHD
• Carol Jane Goldblatt, PSY.D., J.D., CSAC
• Golden Dermatology LLC
• Golden Rule ABA, LLC
• Anne Golden
• Nickie L. Golden, PH.D

• Clinical Social Worker in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.