Individual provider Active NPI

Bari Goltzman, LMSW

  • Social Worker
  • Little Neck, NY
National Provider Identifier
1942572557
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
084412-1 Issued in NY
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

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
084412-1OtherNYSTATE 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

LicenseStateTypeSpecialty
084412-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients
Samuel Field Ym&Ywha PastSince Mar 20, 2022 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.

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.

Verify at the official NPI Registry.