Individual provider Active NPI

Susan Goldart, DSW; LCSW

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1861623803
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MD07028 Issued in MD
Practice address
3 Goldsboro CT
Bethesda, MD 20817-6311
Phone
(301) 320-6989
Fax
(301) 320-4926
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MD07028 MD Primary
Clinical Social Worker 1041C0700X LC302381 DC

Addresses

Primary practice location

3 Goldsboro CT
Bethesda, MD 20817-6311

Mailing address

3 Goldsboro CT
Bethesda, MD 20817-6311
Phone (301) 320-6989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC302381DCMDClinical Social Worker
MD07028MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1861623803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GOLDSBORO CT",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176311",
            "telephone_number": "301-320-6989",
            "fax_number": "301-320-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GOLDSBORO CT",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176311",
            "telephone_number": "301-320-6989",
            "fax_number": "301-320-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDART",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DSW; LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "MD07028",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.