Gabrielle E. Goldstein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34009056A Issued in IN

Practice address

610 N Lebanon St
Lebanon, IN 46052-1716

Phone

(765) 680-0071

Fax

(765) 436-0455

NPI assigned

Jan 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gabi Goldstein Other name

Medicare fee-for-service enrollment

Enrolled in IN, MO, GA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Integrative Wellness, LLC

  • Psychiatry Physician
  • Lebanon, IN
  • NPI 1750723490

  Clinical

  Medicare reassignment NPD
• Midwest Behavioral Health LLC

  • Psychiatry Physician
  • Evansville, IN
  • NPI 1427362201
  Medicare reassignment NPD
• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Clinical, MO

  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  GA, IN

  Medicare reassignment NPD
• Savitt Psychotherapy LLC

  • Clinical Social Worker
  • Glenwood Springs, CO
  • NPI 1194670497
  NPD
• Indiana Spine Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Carmel, IN
  • NPI 1609960046
  NPD (past)

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1871181321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521716",
            "telephone_number": "765-680-0071",
            "fax_number": "765-436-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "GABRIELLE",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009056A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABI",
            "last_name": "GOLDSTEIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Breosha Gilbert-Shogelola
• Bhupinder K Gill, PT
• Abigail Gliva
• God and Son We Trust, LLC
• Zoe Goebel, RBT
• Bailey C Goodman, PA-C
• Emily Goodman
• Lyndsey M Goodrich, RBT
• Dorothea Mueller Goold, M.S.,LMFT
• Eitan M Gordon, ED.S.

• Clinical Social Worker in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.