Jeffrey M Goldberg, LCSW-C
Social Worker, Clinical in Ellicott City, MD. Individual provider (NPI-1).
NPI number1346856465
StatusActive
Last updated in NPPESSep 23, 2020
Details
- NPI
- 1346856465
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey M Goldberg
- Credential
- LCSW-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2020
- Certification date
- Sep 23, 2020
- Last updated
- Sep 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | 14411 | MD |
Practice location
3355 Saint Johns Ln Ste JEllicott City, MD 21042-2600
Phone 240-723-0990
Mailing address
3355 Saint Johns Ln Ste FEllicott City, MD 21042-2600
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