Constance O Goldberg, LCSW BCD
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1346358751
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346358751
- Entity type
- Individual (NPI-1)
- Name
- Ms. Constance O Goldberg
- Credential
- LCSW BCD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149000031 | IL | Yes |
Practice location
844 Chalmers PlChicago, IL 60614
Phone 773-348-3643 · Fax 312-922-6798
Mailing address
844 Chalmers PlChicago, IL 60614
Phone 773-348-3643 · Fax 312-922-6798
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