MARK GOLDBERG (NPI# 1821264961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821264961 |
| Entity Type | Individual |
| Full Name | MARK GOLDBERG |
| Credential | LCSW |
| Practice Address |
27 Swayze St West Orange NJ 07052-2025 |
| Practice Telephone | 9737363655 |
| Mailing Telephone | 9737363655 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05240000 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306935432 | Mark King Goldberg | Podiatrist | 5638 Overbrook Ave, Philadelphia, PA 19131-1316 | 2006-10-12 |
| 1114015690 | Mark Goldberg | Orthotist | 9 Technology Dr, East Setauket, NY 11733-4000 | 2006-10-10 |
| 1144238312 | Mark Daniel Goldberg | Family Medicine | 5252 E Main St, Mesa, AZ 85205-8022 | 2006-08-04 |
| 1063434371 | Mark N Goldberg | Psychiatry & Neurology | 296 Ne 99th St, Miami Shores, FL 33138-2435 | 2006-07-24 |
| 1700804366 | Mark Charles Goldberg | Internal Medicine | 4790 E Camp Lowell Dr, Tucson, AZ 85712-1275 | 2006-07-18 |
| 1427082320 | Mark Goldberg | Radiology | 1801 Colorado Ave Ste 230, Turlock, CA 95382-2707 | 2006-07-10 |
| 1649240003 | Mark Mitchell Goldberg | Podiatrist | 970 Washington Ave, Chestertown, MD 21620-3322 | 2006-01-26 |
| 1013994888 | Mark A Goldberg | Radiology | 271 Waverly Oaks Rd, Waltham, MA 02452-8469 | 2005-12-22 |
| 1992799464 | Mark S Goldberg | Podiatrist | 4 Ambler Ln, Aberdeen, NJ 07747-1205 | 2005-09-09 |
| 1790008415 | Mark Andrew Goldberg | Dentist | 1603 S Hiawassee Rd, Suite 135, Orlando, FL 32835-6438 | 2010-03-09 |
| Street Address |
27 SWAYZE ST |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071835 | Sally Attia, LLC | Social Worker | 14 Meyer Ct, West Orange, NJ 07052-1134 | 2020-07-23 |
| 1023659331 | Kathleen Shelley | Social Worker | 22 Robertson Rd, West Orange, NJ 07052-3519 | 2019-10-08 |
| 1821640723 | Rosetta Stephens | Social Worker | 38 Belle Terre Rd, West Orange, NJ 07052-2324 | 2019-07-10 |
| 1619536216 | Roy W Vincent | Social Worker | 73 Larkin Cir, West Orange, NJ 07052-1122 | 2019-06-07 |
| 1669932349 | Living In Wellness Counseling Services LLC | Social Worker | 640 Eagle Rock Ave Ste 1, West Orange, NJ 07052-2931 | 2019-03-20 |
| 1821569013 | Anna Fudim-kirshblum | Social Worker | 71 Woodland Ave, West Orange, NJ 07052-2930 | 2018-12-16 |
| 1811360688 | Jewel Safren | Social Worker | 9 Suburban Dr, West Orange, NJ 07052-3418 | 2015-11-03 |
| 1356748636 | Nicola Pinto | Social Worker | 164 A Watson Ave, West Orange, NJ 07052 | 2014-12-02 |
| 1013269133 | Nicole M Wells-cimmino | Social Worker | 1 Hunterdon Rd, West Orange, NJ 07052-1603 | 2012-10-12 |
| 1104188101 | Children's Aid and Family Services, Inc. | Social Worker | 161 Pleasant Valley Way, West Orange, NJ 07052-2906 | 2012-06-14 |
| Find all providers in WEST ORANGE | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.