Individual provider Active NPI

Julie Goldberg, LCSW

  • Clinical Social Worker
  • Santa Cruz, CA
National Provider Identifier
1942390877
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW8246 Issued in CA
Practice address
550 Water St Ste E2
Santa Cruz, CA 95060-4130
Phone
(831) 818-3459
NPI assigned
Oct 13, 2006
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW8246 CA Primary

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

104 Walnut Ave Ste 208
Santa Cruz, CA 95060-3929
Phone (831) 423-9444

Other practice location 2

2901 Park Ave Ste A3
Soquel, CA 95073-2831
Phone (831) 346-6767

Other practice location 3

6630 Hwy 9
Suite 205
Felton, CA 95018
Phone (831) 335-2120

Other names 1

  • Julie Fabrizio Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050330000998 CA Practitioner - Clinical Social Worker 2769438936 Reassigns benefits to 1 organization
Practice locations: Felton, CA

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW8246CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of the Central Coast CurrentSince Oct 26, 2005 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

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1942390877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1248",
            "city": "FELTON",
            "state": "CA",
            "postal_code": "95018",
            "telephone_number": "831-335-2120",
            "fax_number": "831-335-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE E2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604130",
            "telephone_number": "831-818-3459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Walnut Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950603929",
            "country_code": "US",
            "telephone_number": "831-423-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Park Ave Ste A3",
            "address_purpose": "LOCATION",
            "city": "Soquel",
            "state": "CA",
            "postal_code": "950732831",
            "country_code": "US",
            "telephone_number": "831-346-6767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6630 Hwy 9",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Felton",
            "state": "CA",
            "postal_code": "95018",
            "country_code": "US",
            "telephone_number": "831-335-2120",
            "fax_number": "831-335-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW8246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "FABRIZIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.