Ina Gail Goldberg, MSW LCSWR
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1578747259
StatusActive
Last updated in NPPESDec 18, 2007
Details
- NPI
- 1578747259
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ina Gail Goldberg
- Credential
- MSW LCSWR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2007
- Last updated
- Dec 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R0428821 | NY | Yes |
Practice location
65 West 96th Street#20b
New York, NY 10025
Phone 646-544-1690
Mailing address
25 West 75th Street#4a
New York, NY 10023
Phone 646-544-1690
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