Active NPIIndividual providerSole proprietor

Mrs. Phyllis Goldberg, LCSW

Social Worker, Clinical in Fair Lawn, New Jersey

NPI Number1760648323
Practice location
4-18 2ND St, Fair Lawn, NJ 07410-1030
Fax
—
Last updated
August 4, 2008

Phyllis Goldberg is a Social Worker, Clinical based in Fair Lawn, NJ. Phyllis Goldberg practices in Fair Lawn, NJ and has the professional credentials of LCSW. The NPI Number for Phyllis Goldberg is 1760648323 and holds a License No. 44sc00100300 (NJ). The current practice location address for Phyllis Goldberg is 4-18 2ND St, Fair Lawn, NJ 07410-1030 and can be reached out via phone at 201-794-2020.

Provider Profile Details

NPI Number
1760648323
Provider Name
Phyllis Goldberg
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
4-18 2ND St, Fair Lawn, NJ 07410-1030
Phone Number
201-794-2020
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 4, 2008
Last Update Date
August 4, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
4-18 2ND St
Fair Lawn, NJ 07410-1030
Zip
07410-1030
Phone Number
201-794-2020
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
4-18 2ND St
Fair Lawn, NJ 07410-1030
City
Fair Lawn
State
NJ
Zip
07410-1030
Phone Number
201-794-2020

License Information

License Number
44sc00100300
License State
NJ
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 Mrs. Phyllis Goldberg, LCSW?

The NPI number of Mrs. Phyllis Goldberg, LCSW is 1760648323. It was assigned on August 4, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Phyllis Goldberg, LCSW?

Mrs. Phyllis Goldberg, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sc00100300.

Where does Mrs. Phyllis Goldberg, LCSW practice?

The practice location is 4-18 2ND St, Fair Lawn, NJ 07410-1030. The office can be reached at 201-794-2020 (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 1760648323 directly on the NPPES registry website.

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