Steven N Goldberg, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1017480 Issued in MA

Practice address

450 Maple St
Hathorne, MA 01937

Phone

(978) 774-5000

NPI assigned

Sep 28, 2018

Last updated

Sep 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Commonwealth of Massachusetts

  dba Hogan Regional Center

  • Intellectual Disabilities Intermediate Care Facility
  • Hathorne, MA
  • NPI 1598957391
  NPD (past)
• Trustees of Tufts University

  • Dental Clinic/Center
  • Hathorne, MA
  • NPI 1740405356
  NPD (past)

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1902381650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALDEN RD",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605219",
            "telephone_number": "978-771-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAPLE ST",
            "city": "HATHORNE",
            "state": "MA",
            "postal_code": "01937",
            "telephone_number": "978-774-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "STEVEN",
        "middle_name": "N",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1017480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth of Massachusetts (Hogan Regional Center)
• Debra Beth Deflumeri, NP
• Debra Dunham
• Essex North Shore Agricultural & Technical School District
• Sandra L Goldstein Savoie, LICSW
• Steffani Lynne Pouliot, LICSW
• Trustees of Tufts University
• Joanne Ventola, NP

• Clinical Social Worker in Hathorne, MA
• Providers in Hathorne, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.