Provider Demographics
NPI:1609769736
Name:GOLDING, CARLY (LMSW)
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:
Last Name:GOLDING
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CJ
Other - Middle Name:
Other - Last Name:GOLDING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8950 E AVENIDA LAS NOCHES
Mailing Address - Street 2:
Mailing Address - City:GOLD CANYON
Mailing Address - State:AZ
Mailing Address - Zip Code:85118-4725
Mailing Address - Country:US
Mailing Address - Phone:901-825-7961
Mailing Address - Fax:
Practice Address - Street 1:16815 S DESERT FOOTHILLS PKWY STE 140
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-8465
Practice Address - Country:US
Practice Address - Phone:480-452-0091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical