Active NPIIndividual provider

Marjorie P Goldbaum, LICSW LADC

Social Worker, Clinical in Chelmsford, Massachusetts

NPI Number1407869704
Practice location
201 Chelmsford St, Chelmsford, MA 01824-2359
Fax
978-256-7465
Last updated
February 2, 2016

Marjorie Provost Goldbaum is a Social Worker, Clinical based in Chelmsford, MA. Marjorie Provost Goldbaum practices in Chelmsford, MA and has the professional credentials of LICSW LADC. The NPI Number for Marjorie Provost Goldbaum is 1407869704 and holds a License No. 110711 (MA). The current practice location address for Marjorie Provost Goldbaum is 201 Chelmsford St, Chelmsford, MA 01824-2359 and can be reached out via phone at 978-256-1467 and via fax at 978-256-7465.

Provider Profile Details

NPI Number
1407869704
Provider Name
Marjorie Provost Goldbaum
Credential
LICSW LADC
Provider Entity Type
Individual
Gender
Female
Address
201 Chelmsford St, Chelmsford, MA 01824-2359
Phone Number
978-256-1467
Fax Number
978-256-7465
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2006
Last Update Date
February 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Chelmsford St
Chelmsford, MA 01824-2359
Zip
01824-2359
Phone Number
978-256-1467
Fax Number
978-256-7465
Chelmsford, MA 01824Get directions →

Provider Business Mailing Address Details

Address
201 Chelmsford St
Chelmsford, MA 01824-2359
City
Chelmsford
State
MA
Zip
01824-2359
Phone Number
978-256-1467
Fax Number
978-256-7465

License Information

License Number (1)
110711
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
1530
License State (2)
MA

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 Marjorie P Goldbaum, LICSW LADC?

The NPI number of Marjorie P Goldbaum, LICSW LADC is 1407869704. It was assigned on August 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Marjorie P Goldbaum, LICSW LADC?

Marjorie P Goldbaum, LICSW LADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110711.

Where does Marjorie P Goldbaum, LICSW LADC practice?

The practice location is 201 Chelmsford St, Chelmsford, MA 01824-2359. The office can be reached at 978-256-1467 (phone) or 978-256-7465 (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 1407869704 directly on the NPPES registry website.

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