Charley Rowynne Uttal Goldman, LGSW in Washington, DC

Charley Rowynne Uttal Goldman, LGSW is a medicare enrolled "Social Worker - Clinical" provider in Washington, District Of Columbia. His current practice location is 3400 Martin Luther King Jr Ave Se, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 724-7666.

Charley Rowynne Uttal Goldman is licensed to practice in District Of Columbia (license number LC200001390) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568010924.

Contact Information

	Charley Rowynne Uttal Goldman, LGSW
	3400 Martin Luther King Jr Ave Se, Washington, DC 20032-1542
	(202) 724-7666
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charley Rowynne Uttal Goldman
Gender	Male
Speciality	Social Worker - Clinical
Location	3400 Martin Luther King Jr Ave Se, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568010924
Provider Enumeration Date: 08/29/2019
Last Update Date: 03/24/2022

Medicare PECOS Information:

PECOS PAC ID: 0345623864
Enrollment ID: I20220817000058

Medical Identifiers

Medical identifiers for Charley Rowynne Uttal Goldman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568010924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LC200001390 (District Of Columbia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charley Rowynne Uttal Goldman allows following entities to bill medicare on his behalf.

Entity Name	Uplift Health Technologies Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770189243 PECOS PAC ID: 5092109918 Enrollment ID: O20220218000586

Entity Name	Uplift Behavioral Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629740410 PECOS PAC ID: 4688057086 Enrollment ID: O20220817003644

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charley Rowynne Uttal Goldman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charley Rowynne Uttal Goldman, LGSW 1306 Dexter Ter Se, Washington, DC 20020-5204 Ph: (202) 507-3597	Charley Rowynne Uttal Goldman, LGSW 3400 Martin Luther King Jr Ave Se, Washington, DC 20032-1542 Ph: (202) 724-7666

Reviews and Comments

Social Worker in Washington, DC

Ms. Alnita I Miller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3230 Pennsylvania Ave Se, Suite # 213, Washington, DC 20020 Phone: 202-583-1181 Fax: 202-583-1186
Ms. Maura A Healy, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1935 11th St Nw, #2, Washington, DC 20001 Phone: 202-483-1001
Mrs. Pamela Campbell, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7826 Eastern Ave Nw, Suite Ll-18, Washington, DC 20012 Phone: 202-291-0912
Mr. Brandon Joseph Stratford, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1443 Euclid St Nw, Washington, DC 20009 Phone: 202-255-0021
Ms. Ann S. Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2510 Virginia Ave Nw, Washington, DC 20037 Phone: 202-965-5755
James Fletcher Robinson Iv, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3130 Wisconsin Ave Nw, # 716, Washington, DC 20016 Phone: 202-232-5171
Janelle Ayana Phillip, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Irving St Nw, Washington, DC 20422 Phone: 202-745-8000

Charley Rowynne Uttal Goldman, LGSW - Medicare Clinical Social Worker in Washington, DC