| Doctor Name: | JUDITH LEERS GOLDEN |
| NPI Number: | 1164474219 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW, LCSW |
| License Number: | 115291 |
| Business Practice Address: | 62 Main St. Vineyard Haven, MA - 02568 |
| Business Phone Number: | 9143919123 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1530, VINEYARD HAVEN |
| State: | MA |
| Postal Code: | 025680907 |
| Phone Number: | 9143919123 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 10/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 115291 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |