Active NPIIndividual providerSole proprietor

Ms. Jo A Goldman, MSW LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1376618488
Practice location
84 High Street, Medford, MA 02155
Fax
797-391-6119
Last updated
November 8, 2012

Jo Anne Goldman is a Social Worker, Clinical based in Medford, MA. Jo Anne Goldman practices in Medford, MA and has the professional credentials of MSW LICSW. The NPI Number for Jo Anne Goldman is 1376618488 and holds a License No. 1018384 (MA). The current practice location address for Jo Anne Goldman is 84 High Street, Medford, MA 02155 and can be reached out via phone at 787-391-6222 and via fax at 797-391-6119.

Provider Profile Details

NPI Number
1376618488
Provider Name
Jo Anne Goldman
Credential
MSW LICSW
Provider Entity Type
Individual
Gender
Female
Address
84 High Street, Medford, MA 02155
Phone Number
787-391-6222
Fax Number
797-391-6119
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 22, 2006
Last Update Date
November 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
84 High Street
Medford, MA 02155
Zip
02155
Phone Number
787-391-6222
Fax Number
797-391-6119
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
84 High Street
Medford, MA 02155
City
Medford
State
MA
Zip
02155
Phone Number
781-391-6222
Fax Number
781-391-6119

License Information

License Number
1018384
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

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 Ms. Jo A Goldman, MSW LICSW?

The NPI number of Ms. Jo A Goldman, MSW LICSW is 1376618488. It was assigned on November 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Jo A Goldman, MSW LICSW?

Ms. Jo A Goldman, MSW LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1018384.

Where does Ms. Jo A Goldman, MSW LICSW practice?

The practice location is 84 High Street, Medford, MA 02155. The office can be reached at 787-391-6222 (phone) or 797-391-6119 (fax).

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 1376618488 directly on the NPPES registry website.

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