Doctor Name: | JULIE GOLDBERG |
NPI Number: | 1942390877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 8246 |
Business Practice Address: | 6630 Hwy 9 Suite 205 Felton, CA - 95018 |
Business Phone Number: | 8313352120 |
Business Fax Number: | 8313352120 |
Mailing Address: | Po Box 1248, FELTON |
State: | CA |
Postal Code: | 95018 |
Phone Number: | 8313352120 |
Fax Number: | 8313352120 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 11/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 8246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |