| Doctor Name: | MS. EVELYN GOLDSTEIN |
| NPI Number: | 1013116474 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-C |
| License Number: | 17134 |
| Business Practice Address: | 11235 Oak Leaf Dr Suite #110 Silver Spring, MD - 209011318 |
| Business Phone Number: | 3016818597 |
| Business Fax Number: | 3015986648 |
| Mailing Address: | 10411 Brookmoor Dr, SILVER SPRING |
| State: | MD |
| Postal Code: | 209012603 |
| Phone Number: | 2404727045 |
| Fax Number: | 3016818597 |
| NPI Enumeration Date: | 07/16/2007 |
| NPI Last Update Date: | 02/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 17134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |