Individual provider Active NPI

Joshua David Goldman, MSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1780715805
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1068 Issued in CO
Practice address
1200 28TH St Ste 200B
Boulder, CO 80303-1756
Phone
(303) 598-3974
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1068 CO Primary

Addresses

Primary practice location

1200 28TH St Ste 200B
Boulder, CO 80303-1756

Mailing address

1200 28TH St Ste 200B
Boulder, CO 80303-1756
Phone (303) 598-3974

Other practice location 1

1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 413-6359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1780715805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 28TH ST STE 200B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031756",
            "telephone_number": "303-598-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 28TH ST STE 200B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031756",
            "telephone_number": "303-598-3974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Iris Ave",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803042226",
            "country_code": "US",
            "telephone_number": "303-413-6359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.