Doctor Name: | ANDREA B GOLDBERG |
NPI Number: | 1013024470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05082700 |
Business Practice Address: | 201 Lyons Ave Nbimc Ambulatory Behavioral Health Services Newark, NJ - 071122027 |
Business Phone Number: | 9739267289 |
Business Fax Number: | 9739262862 |
Mailing Address: | 185 Broad St, BLOOMFIELD |
State: | NJ |
Postal Code: | 070032605 |
Phone Number: | 9737480045 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05082700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |