Active NPI
Bari Goltzman, LMSW
- Social Worker
- Little Neck, NY
National Provider Identifier
1942572557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 084412-1
- Practice address
- 58-20 Little Neck Parkway
Little Neck, NY 11362-2530 - Phone
- (718) 224-0566
- Fax
- (718) 224-7544
- NPI assigned
- Jan 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 084412-1 | NY | Primary |
Addresses
Primary practice location
58-20 Little Neck Parkway
Little Neck, NY 11362-2530
Mailing address
245-46 76TH Ave.
Apt# a
Bellerose, NY 11426-0000
Phone (718) 224-0566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084412-1 | Other | NY | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 084412-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Assoc of Nys Inc. | Past | Accepting new patients | |
| Samuel Field Ym&Ywha | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Little Neck, NY
- NPI 1205862950
-
dba Cerebral Palsy of NYS
- Clinic/Center
- Woodside, NY
- NPI 1255496642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1942572557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245-46 76TH AVE.",
"address_2": "APT# A",
"city": "BELLEROSE",
"state": "NY",
"postal_code": "114260000",
"telephone_number": "718-224-0566",
"fax_number": "718-224-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58-20 LITTLE NECK PARKWAY",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622530",
"telephone_number": "718-224-0566",
"fax_number": "718-224-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLTZMAN",
"first_name": "BARI",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-30",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "084412-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "084412-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.