| Goldman Clinical Services, Llc | |
|
37 Maple St Summit NJ 07901-2529 | |
| (908) 473-9964 | |
| Not Available |
| Full Name | Goldman Clinical Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 37 Maple St, Summit, New Jersey |
| Authorized Official Name and Position | Michael H Goldman (OWNER) |
| Authorized Official Contact | 9084739964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldman Clinical Services, Llc 37 Maple St Ste 4 Summit NJ 07901-2529 Ph: (908) 473-9964 | Goldman Clinical Services, Llc 37 Maple St Summit NJ 07901-2529 Ph: (908) 473-9964 |
| NPI Number | 1962153858 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Medicare PECOS PAC ID | 8527451822 |
|---|---|
| Medicare Enrollment ID | O20220209001971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962153858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michael H Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326344649 PECOS PAC ID: 4284803040 Enrollment ID: I20110811000552 |
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