Doctor Name: | MS. ARIEL GOLTZMAN |
NPI Number: | 1053729053 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICSW |
License Number: | 19877 |
Business Practice Address: | 14300 Nicollet Ct Suite 130 Burnsville, MN - 553064501 |
Business Phone Number: | 9524358814 |
Business Fax Number: | |
Mailing Address: | 14300 Nicollet Ct, Suite 130 BURNSVILLE |
State: | MN |
Postal Code: | 553064501 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/23/2014 |
NPI Last Update Date: | 07/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 19877 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |