Provider Demographics
NPI:1083817928
Name:GREENSPAN GOLDBERG, ARDEN HILLARY (LCSW MSW)
Entity Type:Individual
Prefix:MRS
First Name:ARDEN
Middle Name:HILLARY
Last Name:GREENSPAN GOLDBERG
Suffix:
Gender:F
Credentials:LCSW MSW
Other - Prefix:
Other - First Name:ARDEN
Other - Middle Name:HILLARY
Other - Last Name:GREENSPAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:637 SO MT RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956
Mailing Address - Country:US
Mailing Address - Phone:845-634-6777
Mailing Address - Fax:
Practice Address - Street 1:637 SO MT RD
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956
Practice Address - Country:US
Practice Address - Phone:845-634-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR01530311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY146332OtherVALUE OPTIONS
NY7402967OtherGHI