Jason M Goldberg, LCSW-C, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12697 Issued in MD

Legal business name

JASON M GOLDBERG, LCSW-C, LLC

Practice address

4815 Saint Elmo Ave
Suite 100
Bethesda, MD 20814-7061

Phone

(301) 664-6449

Fax

(301) 664-7922

NPI assigned

Jan 4, 2011

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-C

Title

Owner/Psychotherapy

Phone

(202) 329-7696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1871897959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 SAINT ELMO AVE",
            "address_2": "SUITE 100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208147061",
            "telephone_number": "301-664-6449",
            "fax_number": "301-664-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 SAINT ELMO AVE",
            "address_2": "SUITE 100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208147061",
            "telephone_number": "301-664-6449",
            "fax_number": "301-664-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON M GOLDBERG, LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPY",
        "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": []
}

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

• 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 May 9, 2011; 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.