Active NPI
Lisa Goldenberg, L.C.S.W.
- Clinical Social Worker
- New Canaan, CT
National Provider Identifier
1801969704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 001389
- Practice address
- 208 Valley Rd
Jurgenson Building
New Canaan, CT 06840-3812 - Phone
- (203) 801-2356
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 001389 | CT | Primary |
Addresses
Primary practice location
208 Valley Rd
Jurgenson Building
New Canaan, CT 06840-3812
Mailing address
79 Seth Low Mountain Road
Ridgefield, CT 06877
Phone (203) 648-8342
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": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1801969704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 SETH LOW MOUNTAIN ROAD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "06877",
"telephone_number": "203-648-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 VALLEY RD",
"address_2": "JURGENSON BUILDING",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068403812",
"telephone_number": "203-801-2356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "LISA",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "001389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Canaan, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.