Jason M. Goldberg, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12697 Issued in MD

Legal business name

JASON M. GOLDBERG, LCSW-C

Practice address

4401 E West Hwy
Suite 207
Bethesda, MD 20814-4523

Phone

(202) 329-7696

Fax

(301) 907-3342

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jason Matthew Goldberg, LCSW-CNPI 1427212851

Title

Owner of Psychotherapy Practice

Phone

(202) 329-7696

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Matthew Goldberg, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
  • NPI 1427212851
  NPD (past) Authorized official

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1861721243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY",
            "address_2": "SUITE 207",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144523",
            "telephone_number": "202-329-7696",
            "fax_number": "301-907-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY",
            "address_2": "SUITE 207",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144523",
            "telephone_number": "202-329-7696",
            "fax_number": "301-907-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON M. GOLDBERG, LCSW-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER OF PSYCHOTHERAPY PRACTICE",
        "authorized_official_telephone_number": "202-329-7696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Marie Jarrett-Murrill, PH.D.
• Caitlin Anne Jarvis, PA
• Judith A. Jarvis, CRNA
• Jasmine Chen Gatti MD LLC
• Jason M Goldberg, LCSW-C, LLC
• Dharmvir Jaswal, M.D
• Jonathan C Javitt, M.D., M.P.H.
• Laurence Jaworski, MD
• Noushin Jazebi, MD
• Jean Ratner LCSW-C,LLC

• Clinical Social Worker in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.