CHARLEY ROWYNNE UTTAL GOLDMAN (NPI# 1568010924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568010924 |
| Entity Type | Individual |
| Full Name | CHARLEY ROWYNNE UTTAL GOLDMAN |
| Credential | LGSW |
| Practice Address |
1419 Columbia Rd Nw Washington DC 20009-4705 |
| Mailing Address |
1212 12th St Nw # B Washington DC 20005-4338 |
| Practice Telephone | 2023192225 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LG50082839 | DC | Behavioral Health & Social Service Providers |
| Street Address |
1419 COLUMBIA RD NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20009-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598805335 | Latin American Youth Center | Clinic/Center | 1419 Columbia Rd Nw, Washington, DC 20009-4705 | 2007-02-08 |
| 1942815089 | Liana Ventimiglia | Counselor | 1419 Columbia Rd Nw, Washington, DC 20009-4705 | 2020-09-15 |
| 1750932893 | Taylor Pinckney | Counselor | 1419 Columbia Rd Nw, Washington, DC 20009-4705 | 2019-09-20 |
| 1396394375 | Anna D'avanzo | Counselor | 1419 Columbia Rd Nw, Washington, DC 20009-4705 | 2019-09-11 |
| 1851830665 | Latin American Youth Center | Clinic/Center | 1419 Columbia Rd Nw, Washington, DC 20009-4705 | 2017-02-14 |
| 1871043562 | Claudia Battu | Counselor | 1419 Columbia Rd Nw, Washington, DC 20009-4705 | 2016-10-06 |
| 1215309240 | Katie Piura | Counselor | 1419 Columbia Rd Nw, Washington, DC 20009-4705 | 2015-10-29 |
| 1518360312 | Frances Ileana Rosa | Counselor | 1419 Columbia Rd Nw, Washington, DC 20009-4705 | 2014-10-07 |
| 1912203803 | Ann Theresa Cuebas | Social Worker | 1419 Columbia Rd Nw, Washington, DC 20009-4705 | 2011-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724515 | Ana Serra | Social Worker | Mary's Center, 2333 Ontario Rd Nw, Washington, DC 20009 | 2020-06-10 |
| 1124596317 | Javan Anti Aging and Wellness Institute | Clinic/Center | 1626 U St Nw, Washington, DC 20009 | 2018-11-06 |
| 1477052272 | Shaw Family Dentistry Pllc | Dentist | 1515 U Street Nw, Suite A1 C1, Washington Dc, DC 20009 | 2018-02-07 |
| 1942728597 | Emily Schwaber | Speech-Language Pathologist | 5185 Macarthur Boulevard Suite 101, Washington, DC 20009 | 2017-09-05 |
| 1649792581 | Kalorama Pharmacy Inc. | Pharmacy | 1841 Columbia Rd Nw, Washington, DC 20009 | 2017-07-12 |
| 1700313707 | Salome Fomukong | Home Health Aide | 1752 Columbia Rd #2, Tierno Care Home Health Agency, Washington, DC 20009 | 2017-05-22 |
| 1912432436 | Mcclain Eyewear | Eyewear Supplier (Equipment, not the service) | 1514 U Street Nw, Washington, DC 20009 | 2017-04-21 |
| 1487195624 | Jasmine Thomas | Home Health Aide | 1440 W St Nw #b1, Washington, DC 20009 | 2017-03-20 |
| 1760923361 | Natasha Khawaja | Family Medicine | Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 | 2017-03-15 |
| 1134672520 | Margaret Ache Tata Tanwani | Home Health Aide | 1752 Columbia Rd, North West Washington Dc, North West Washington, DC 20009 | 2016-08-02 |
| Find all providers in zip 20009 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225294 | Dominique Rashard Williams | Counselor | 4000 Kansas Ave Nw Apt 206, Washington, DC 20011-5743 | 2020-11-04 |
| 1932709326 | Amy Mall | Counselor | 353 O St Sw, Washington, DC 20024-2901 | 2020-10-27 |
| 1518565787 | Kathryn Paige Zorniger | Counselor | 712 H St Ne Ste 1056, Washington, DC 20002-3627 | 2020-10-11 |
| 1477150001 | Marlyse D Kouano | Counselor | 850 21st St Ne Apt 3, Washington, DC 20002-4131 | 2020-10-06 |
| 1609473750 | Asia Vianna Mack Leak | Counselor | 529 14th St Nw, Washington, DC 20045-1000 | 2020-10-01 |
| 1427665777 | C'aira Neal | Counselor | 4020 Minnesota Ave Ne Apt 636, Washington, DC 20019-3568 | 2020-09-29 |
| 1992312706 | Carolyn Elaine Gonterman | Counselor | 2223 40th St Nw Apt 2, Washington, DC 20007-1736 | 2020-09-25 |
| 1194338095 | Tanyi Mubang | Counselor | 6101 16th St Nw Apt 518, Washington, DC 20011-1761 | 2020-08-28 |
| 1932711488 | Claudia Mai Nguyen | Counselor | 20 F St Nw Ofc 757, Washington, DC 20001-6700 | 2020-08-17 |
| 1114538352 | Sarita Johnson | Counselor | 650 I St Se, Washington, DC 20003-2725 | 2020-08-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20009 |
Please comment or provide details below to improve the information on CHARLEY ROWYNNE UTTAL GOLDMAN.
| 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.