Individual provider Active NPI

Sue Goldman, MSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1790760353
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR012989-1 Issued in NY
Practice address
330 E 70TH St
1W
New York, NY 10021-8634
Phone
(212) 794-0333
Fax
(212) 288-9934
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PR012989-1 NY Primary

Addresses

Primary practice location

330 E 70TH St
1W
New York, NY 10021-8634

Mailing address

330 E 70TH St
1W
New York, NY 10021-8634
Phone (212) 794-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040601001517 NY Practitioner - Clinical Social Worker 3072595362 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012989NYMDPsychologist
PR012989-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Epilepsy Institute Clinical PastSince Apr 9, 2024 Accepting new patients
The Epilepsy Institute PastSince Apr 9, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790760353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 70TH ST",
            "address_2": "1W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218634",
            "telephone_number": "212-794-0333",
            "fax_number": "212-288-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 70TH ST",
            "address_2": "1W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218634",
            "telephone_number": "212-794-0333",
            "fax_number": "212-288-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR012989-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.