Julie Goldberg, LCSW
Individual provider Active NPI Clinical Social Worker · Santa Cruz, CA
NPI 1942390877 · NPPES record last updated Sep 13, 2018
Key facts
- NPI
- 1942390877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW8246 (CA)
- Practice address
- 550 Water St Ste E2
Santa Cruz, CA 95060-4130 - Phone
- (831) 818-3459
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6630 Hwy 9
Suite 205
Felton, CA 95018-9711
Phone (831) 335-2120
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050330000998 | CA | Practitioner - Clinical Social Worker | 2769438936 |
Reassigns benefits to 1 organization Practice locations: Felton, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW8246 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Agency of the Central Coast | Current |
Accepting new patients | |
| Julie Goldberg Licensed Clinical Social Worker Inc | Current | Accepting new patients | |
| Family Service Agency of the Central Coast | Past | Accepting new patients |
Locations
6630 Highway 9
Ste 205
Felton, CA 95018
Phone (831) 246-1512
104 Walnut Ave
Ste 208
Santa Cruz, CA 95060
Phone (831) 423-1532
104 Walnut Ave
Ste 212
Santa Cruz, CA 95060
Phone (408) 423-9444
2901 Park Ave
Ste A3
Soquel, CA 95073
Phone (831) 346-6767
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW8246 | CA | Yes |
Addresses
Primary practice location
550 Water St Ste E2
Santa Cruz, CA 95060-4130
Mailing address
PO Box 1248
Felton, CA 95018
Phone (831) 335-2120
Other practice location 1
2901 Park Ave Ste A3
Soquel, CA 95073-2831
Phone (831) 346-6767
Other practice location 2
104 Walnut Ave Ste 208
Santa Cruz, CA 95060-3929
Phone (831) 423-9444
Other practice location 3
6630 Hwy 9
Suite 205
Felton, CA 95018
Phone (831) 335-2120
Other names
- Julie Fabrizio
Other providers in Santa Cruz, CA
- Christopher Godinez
- Robert Goetze
- Bridget Nelsen Goin
- Claudia Susan Gold
- Daniel Goldberg
- Gregory William Goldfield
- David Goldman
- Duncan John Gallagaher Goldstein
- Linda Dale Goldwyer
- John M Golino
All providers in Santa Cruz, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.