Goldberg, Mark

Goldberg, Mark is an sole proprietor health care provider with primary practice located at 27 Swayze St , West Orange NJ 07052-2025. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goldberg, Mark can be contacted via phone (973) 736-3655.

Contact Information

Primary practice address
27 Swayze St West Orange NJ 07052-2025
Phone: (973) 736-3655
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05240000 New Jersey

Profile Details

NPI number 1821264961
LBN Legal business name Goldberg, Mark
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated Jun 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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