Provider Demographics
NPI:1689381030
Name:GOLDSCHEIN, CAROLINE (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:GOLDSCHEIN
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 W GENESEE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-1265
Mailing Address - Country:US
Mailing Address - Phone:516-318-1964
Mailing Address - Fax:
Practice Address - Street 1:6000 W GENESEE ST STE 200
Practice Address - Street 2:
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031-1265
Practice Address - Country:US
Practice Address - Phone:315-320-6441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012084101YM0800X
PAPC012743101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional