Individual provider Active NPI

Meredith Goldberg, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1881000974
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8561-123 Issued in WI
Practice address
3073 S Chase Ave Ste 630
Milwaukee, WI 53207-2668
Phone
(414) 501-3172
NPI assigned
Jul 9, 2014
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 8561-123 WI Primary
Case Manager/Care Coordinator 171M00000X 129101-121 WI

Addresses

Primary practice location

3073 S Chase Ave Ste 630
Milwaukee, WI 53207-2668

Mailing address

3758 S Iowa Ave
St Francis, WI 53235-4163
Phone (414) 748-1218

Other practice location 1

7332 W State St
Wauwatosa, WI 53213-2766
Phone (414) 501-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210130000017 WI Practitioner - Clinical Social Worker 1153735386 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8561-123WIMDClinical Social Worker
129101-121WIMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Abg Wellness Group Inc CurrentSince Oct 13, 2020 Accepting new patients
Whole Path Psychotherapy LLC Clinical CurrentSince Sep 1, 2022 Accepting new patients
Headway Wisconsin Behavioral Health Services, S.C. Clinical CurrentSince Dec 15, 2024 Accepting new patients
Brightside Medical, P.a. CurrentSince May 15, 2023 Accepting new patients
La Causa, Inc. Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

205 Hudson St
Fl 9
New York, NY 10013
Phone (516) 274-9095

1037 W McKinley Ave
Ste 366
Milwaukee, WI 53205
Phone (414) 501-3161

11414 W Park Pl
Ste 202
Milwaukee, WI 53224
Phone (414) 292-7060

1433 N Water St
Fl 4
Milwaukee, WI 53202
Phone (262) 902-9194

234 W Florida St
Ste 207
Milwaukee, WI 53204
Phone (414) 501-3161

3073 S Chase Ave
Ste 630
Milwaukee, WI 53207
Phone (414) 292-3275

777 N Jefferson St
Ste 408
Milwaukee, WI 53202
Phone (414) 207-6425

3770 S Pennsylvania Ave
Stop 7
St Francis, WI 53235

Interoperability endpoints

  • Direct secure messaging: meredith.goldberg.1@17649.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1881000974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 S IOWA AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532354163",
            "telephone_number": "414-748-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 S CHASE AVE STE 630",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072668",
            "telephone_number": "414-501-3172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7332 W State St",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532132766",
            "country_code": "US",
            "telephone_number": "414-501-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "MEREDITH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8561-123",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "129101-121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.