Anne M Goldman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089-0001207 Issued in VT

Practice address

364 Dorset St
Suite 204
South Burlington, VT 05403-6270

Phone

(802) 658-9440

Fax

(802) 658-9443

NPI assigned

Nov 7, 2007

Sex

Female

Sole proprietor

No

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.

• Vermont Center for Integrative Therapy, LLC

  • Mental Health Counselor
  • South Burlington, VT
  • NPI 1497078695
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2012.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1740460740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 WEYBRIDGE ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 DORSET ST",
            "address_2": "SUITE 204",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036270",
            "telephone_number": "802-658-9440",
            "fax_number": "802-658-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ANNE",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0001207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Giulianelli, D.M.D.
• Traci Lyn Glanz, PT
• John Glemb
• Gina M Godek, LICSW
• Zachary Godin
• Casey Goldman, LCMHC
• Johanna Powden Golston, RN, NP
• Goodhealth Diagnostic Center, Inc.
• Goodhealth P.C.
• Goodhealth, P.C.

• All providers in South Burlington, VT
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.