Provider Demographics
NPI:1184837411
Name:GOLDMAN, ANA M (MA, CSW, LPC)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:M
Last Name:GOLDMAN
Suffix:
Gender:F
Credentials:MA, CSW, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 WHEATSHEAF RD
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-2919
Mailing Address - Country:US
Mailing Address - Phone:908-397-3415
Mailing Address - Fax:
Practice Address - Street 1:1008 WHEATSHEAF RD
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-2919
Practice Address - Country:US
Practice Address - Phone:908-397-3415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
NJLPC 002156101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist