Individual provider Active NPI

Sara Goldsmith, LCSW

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1891118550
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087208 Issued in NY
Practice address
463 Hawthorne Ave
Yonkers, NY 10705-3441
Phone
(914) 375-8820
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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 087208 NY Primary
Social Worker 104100000X 090083 NY

Addresses

Primary practice location

463 Hawthorne Ave
Yonkers, NY 10705-3441

Mailing address

463 Hawthorne Ave
Yonkers, NY 10705-3441
Phone (914) 375-8820

Other practice location 1

15636 Crossbay Blvd
Suite 2
Howard Beach, NY 11414-2749
Phone (718) 738-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
090083NYMDSocial Worker
087208NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1891118550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 HAWTHORNE AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053441",
            "telephone_number": "914-375-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 HAWTHORNE AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053441",
            "telephone_number": "914-375-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15636 Crossbay Blvd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Howard Beach",
            "state": "NY",
            "postal_code": "114142749",
            "country_code": "US",
            "telephone_number": "718-738-6800",
            "fax_number": "718-738-9245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "SARA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087208",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.