Elizabeth Goldberg Lcsw, Llc | |
10 N Main St Ste 214 West Hartford CT 06107-1941 | |
(860) 288-7219 | |
Not Available |
Full Name | Elizabeth Goldberg Lcsw, Llc |
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Speciality | Social Worker |
Location | 10 N Main St Ste 214, West Hartford, Connecticut |
Authorized Official Name and Position | Elizabeth Goldberg (OWNER/PROVIDER) |
Authorized Official Contact | 8602887219 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elizabeth Goldberg Lcsw, Llc 10 N Main St Ste 214 West Hartford CT 06107-1941 Ph: (860) 288-7219 | Elizabeth Goldberg Lcsw, Llc 10 N Main St Ste 214 West Hartford CT 06107-1941 Ph: (860) 288-7219 |
NPI Number | 1528792918 |
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Provider Enumeration Date | 07/12/2022 |
Last Update Date | 11/21/2022 |
Certification Date | 11/21/2022 |
Medicare PECOS PAC ID | 6204202922 |
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Medicare Enrollment ID | O20221021000678 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528792918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Elizabeth Goldberg |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427526318 PECOS PAC ID: 7719225762 Enrollment ID: I20221021000835 |
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