| Leigh Goldman, Lcsw Llc | |
|
80 Scenic Dr Ste 2 Freehold NJ 07728-5211 | |
| (609) 795-1222 | |
| Not Available |
| Full Name | Leigh Goldman, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 80 Scenic Dr Ste 2, Freehold, New Jersey |
| Authorized Official Name and Position | Leigh S Goldman-hammer (OWNER) |
| Authorized Official Contact | 6097951222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leigh Goldman, Lcsw Llc 80 Scenic Dr Ste 2 Freehold NJ 07728-5211 Ph: (609) 795-1222 | Leigh Goldman, Lcsw Llc 80 Scenic Dr Ste 2 Freehold NJ 07728-5211 Ph: (609) 795-1222 |
| NPI Number | 1629421094 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 10/10/2022 |
| Certification Date | 10/10/2022 |
| Medicare PECOS PAC ID | 7810282910 |
|---|---|
| Medicare Enrollment ID | O20160829002418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629421094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05473900 (New Jersey) | Primary |
| 1041S0200X | Social Worker - School | 741943 (New Jersey) | Secondary |
| Provider Name | Leigh Goldman-hammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124242847 PECOS PAC ID: 8729373824 Enrollment ID: I20160829002532 |
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