Provider Demographics
NPI:1679517312
Name:GOLDENBERG, JOYCE (MSW)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:GOLDENBERG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:
Other - Last Name:MESHMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:3550 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8626
Mailing Address - Country:US
Mailing Address - Phone:717-851-6340
Mailing Address - Fax:717-851-6349
Practice Address - Street 1:1575 BANNISTER ST
Practice Address - Street 2:SUITE 4
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-4946
Practice Address - Country:US
Practice Address - Phone:717-845-6641
Practice Address - Fax:717-846-3893
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SW00132E104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA291103OtherMAMSI
PA01093101OtherCAPITAL BLUE CROSS
PA455623OtherVALUE OPTIONS
PA2101837OtherCIGNA BEHAVIORAL HEALTH
PA00553950Medicaid
PA2101837OtherCIGNA BEHAVIORAL HEALTH
PA291103Medicare ID - Type Unspecified