Provider Demographics
NPI:1689436206
Name:GOLDBERG, DYLAN (MSW)
Entity Type:Individual
Prefix:MR
First Name:DYLAN
Middle Name:
Last Name:GOLDBERG
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 E ARAPAHOE RD STE 240
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-1565
Mailing Address - Country:US
Mailing Address - Phone:720-443-0840
Mailing Address - Fax:
Practice Address - Street 1:2305 E ARAPAHOE RD
Practice Address - Street 2:SUITE 240
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122
Practice Address - Country:US
Practice Address - Phone:720-642-9144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical