Active NPIIndividual providerSole proprietor

Judith L Golden, LICSW, LCSW

Social Worker, Clinical in Vineyard Haven, Massachusetts

NPI Number1164474219
Practice location
62 Main St., Vineyard Haven, MA 02568
Fax
—
Last updated
October 29, 2010

Judith Leers Golden is a Social Worker, Clinical based in Vineyard Haven, MA. Judith Leers Golden practices in Vineyard Haven, MA and has the professional credentials of LICSW, LCSW. The NPI Number for Judith Leers Golden is 1164474219 and holds a License No. 071780 (NY). The current practice location address for Judith Leers Golden is 62 Main St., Vineyard Haven, MA 02568 and can be reached out via phone at 914-391-9123.

Provider Profile Details

NPI Number
1164474219
Provider Name
Judith Leers Golden
Credential
LICSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
62 Main St., Vineyard Haven, MA 02568
Phone Number
914-391-9123
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Judith Ellen Leers, LICSW, LCSW (Former Name)
Provider Enumeration Date
May 17, 2006
Last Update Date
October 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Main St.
Vineyard Haven, MA 02568
Zip
02568
Phone Number
914-391-9123
Vineyard Haven, MA 02568Get directions →

Provider Business Mailing Address Details

Address
Po Box 1530
Vineyard Haven, MA 02568-0907
City
Vineyard Haven
State
MA
Zip
02568-0907
Phone Number
914-391-9123

License Information

License Number (1)
071780
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
115291
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Judith L Golden, LICSW, LCSW?

The NPI number of Judith L Golden, LICSW, LCSW is 1164474219. It was assigned on May 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Judith L Golden, LICSW, LCSW?

Judith L Golden, LICSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 071780.

Where does Judith L Golden, LICSW, LCSW practice?

The practice location is 62 Main St., Vineyard Haven, MA 02568. The office can be reached at 914-391-9123 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164474219 directly on the NPPES registry website.

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