MICHAEL A GOLDMAN (NPI# 1326009523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326009523 |
| Entity Type | Individual |
| Full Name | MICHAEL A GOLDMAN |
| Credential | LCSW, LPC |
| Practice Address |
203 Kenova Ave Wayne WV 25570-9795 |
| Mailing Address |
2585 3rd Ave Huntington WV 25703-1642 |
| Practice Telephone | 3042725136 |
| Practice Fax Number | 3042723807 |
| Mailing Telephone | 3047815159 |
| Mailing Fax Number | 3045238115 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2016-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
242 | WV | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | CP00452118 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MOUNTAIN STATE BC/BS | 001721391 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295070209 | Michael B Goldman | Counselor | 22 Mulberry Ct, Glenview, IL 60025-3348 | 2012-12-02 |
| 1215206032 | Michael Jay Goldman | Radiology | 581 Oak Meadow Dr, Lake Oswego, OR 97034-7688 | 2011-12-22 |
| 1912220666 | Michael M Goldman | Internal Medicine | 120-46 Queens Boulevard, Kew Gardens, NY 11415 | 2010-03-09 |
| 1528392511 | Michael Goldman | Dentist | 3815 E West Hwy, Chevy Chase, MD 20815-5918 | 2009-09-24 |
| 1538358064 | Michael Wayne Goldman | Marriage & Family Therapist | 1812 Dixie Youth Drive, Chatom, AL 36518 | 2007-10-22 |
| 1194841817 | Michael Goldman | Social Worker | 10 Monroe Street Apt Ge12, New York, NY 10002-7747 | 2007-03-22 |
| 1386721660 | Michael V. Goldman | Dentist | 1603 W Ina Rd, Tucson, AZ 85704-1978 | 2006-11-01 |
| 1669407532 | Michael Stuart Goldman | Psychologist | 547 S Venango Dr, Pueblo West, CO 81007-7055 | 2006-07-11 |
| 1073543930 | Michael Alan Goldman | Podiatrist | 417 8th St Ne, Charlottesville, VA 22902-4727 | 2006-07-04 |
| 1376517094 | Michael H Goldman | Internal Medicine | 600 E Palisade Ave, Englewood Cliffs, NJ 07632-1828 | 2006-02-17 |
| Street Address |
203 KENOVA AVE |
| City | WAYNE |
| State | WV |
| Zip Code | 25570-9795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023563921 | Wayne Dental - Valley Health | Dentist | 203 Kenova Ave, Wayne, WV 25570-9795 | 2016-08-20 |
| 1487811832 | Valley Health Systems Inc | Registered Nurse | 203 Kenova Ave, Wayne, WV 25570-9795 | 2008-05-21 |
| 1518171560 | Scott Edward Davis | Family Medicine | 203 Kenova Ave, Wayne, WV 25570-9795 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586532 | Stephanie Michelle Turley | Technician | 207 Mary Davis Branch Road, Wayne, WV 25570 | 2020-10-22 |
| 1508463332 | Cheyann Marie White | Technician | 1317 Left Fork Wilson Creek Road, Wayne, WV 25570 | 2020-10-05 |
| 1619582483 | Joanna Wiley | Technician | 612 Wayne Street, Wayne, WV 25570 | 2020-09-09 |
| 1568076859 | Betty Perry | Technician | 3745 Big Branch Rd, Wayne, WV 25570 | 2020-09-03 |
| 1497367106 | Summer Susanna Bias | Technician | 150 Mose Asbury Road, Wayne, WV 25570 | 2020-08-24 |
| 1508475070 | Donnetta Sue Pratt | Case Manager/Care Coordinator | 1066 Little Lynn Creek Road, Wayne, WV 25570 | 2020-07-30 |
| 1508333659 | Tami Renee Harless | Technician | 112 Riverside Drive Dunrovin Estates, Wayne, WV 25570 | 2018-10-26 |
| 1457867137 | Sarah Minnie Skeens | Technician | 1030 Wilson Creek Road, Wayne, WV 25570 | 2017-12-18 |
| 1497261234 | Zelma Rae Toler | Technician | 112 Riverside Drive, Dunrovan Estate, Wayne, WV 25570 | 2017-12-15 |
| 1639684012 | Patricia Sue Adkins | Technician | 881 Toms Crk Rd, Wayne, WV 25570 | 2017-12-07 |
| Find all providers in zip 25570 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307237 | Erica Woyce | Counselor | 573 Valley Rd Ste 8, Wayne, NJ 07470-3552 | 2020-08-18 |
| 1275190886 | Johanna Ninoska Cedillo | Counselor | 201 Willowbrook Blvd Ste 300, Wayne, NJ 07470-7041 | 2019-05-20 |
| 1396209623 | Pearl Street Counseling, LLC | Counselor | 421 N Pearl Street, Wayne, NE 68787 | 2019-01-31 |
| 1043701659 | Nadine Varty | Counselor | 18 West Ave Apt 2c, Wayne, PA 19087-3326 | 2018-05-21 |
| 1174041370 | Dhara Pandya | Counselor | 131 Warbler Dr, Wayne, NJ 07470-8469 | 2017-09-07 |
| 1295252104 | Pamela Erin Desai | Counselor | 996 Old Eagle School Rd Ste 1105, Wayne, PA 19087-1806 | 2017-08-23 |
| 1609240639 | Joseph Kelly | Counselor | 215 Sugartown Rd., Wayne, PA 19087 | 2015-11-13 |
| 1942615174 | Erin R Young | Counselor | 22 Riverview Dr Ste 201, Wayne, NJ 07470-3115 | 2014-06-26 |
| 1730517590 | Barbara Joyce Dimarco | Counselor | 381 Drummers Ln, Wayne, PA 19087-1555 | 2013-10-14 |
| 1770910135 | Isabelle Murray Kayal | Counselor | 8 Robin Hood Way, Wayne, NJ 07470-5428 | 2013-10-01 |
| Find all providers in WAYNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.