Provider Demographics
NPI:1659448769
Name:GOLDSHER, BARBARA P (LICSW LICENSED INDEP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:P
Last Name:GOLDSHER
Suffix:
Gender:F
Credentials:LICSW LICENSED INDEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CHIVAS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876
Mailing Address - Country:US
Mailing Address - Phone:978-640-3915
Mailing Address - Fax:978-640-3915
Practice Address - Street 1:40 CHIVAS CIRCLE
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876
Practice Address - Country:US
Practice Address - Phone:978-640-3915
Practice Address - Fax:978-640-3915
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA1050951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P03783Medicare UPIN
MA60P21931Medicare ID - Type Unspecified