Provider Demographics
NPI:1982856514
Name:GOLDSMITH, JOAN BARBARA (MSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:BARBARA
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 E 10TH ST
Mailing Address - Street 2:SUITE 10F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6107
Mailing Address - Country:US
Mailing Address - Phone:212-477-6439
Mailing Address - Fax:
Practice Address - Street 1:25 E 10TH ST
Practice Address - Street 2:SUITE 10F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6107
Practice Address - Country:US
Practice Address - Phone:212-477-6439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR017968-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical