Margie C Goldberg, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0003431 Issued in OH

Practice address

6449 Wilson Mills Road
Mayfield Village, OH 44143-3438

Phone

(440) 442-8800

Fax

(440) 442-8804

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Clinical

  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1760410302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 WILSON MILLS ROAD",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433438",
            "telephone_number": "440-442-8800",
            "fax_number": "440-442-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 WILSON MILLS ROAD",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433438",
            "telephone_number": "440-442-8800",
            "fax_number": "440-442-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "MARGIE",
        "middle_name": "C",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0003431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Erin Fisher, M.ED., BCBA, COBA
• Danielle Fogle, MS, BCBA
• Mario Angelo Gastaldo, DPT
• Edward John Gaydos, D.O.
• Generations Care Oh, LLC
• Governor'S Village
• Rosemary Ann Hajdukovic
• Hanna Wang & Ezziddin MDS Inc
• Amanda Marie Hienton, CNP
• Hillcrest Pediatrics Inc.

• Clinical Social Worker in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.