Provider Demographics
NPI:1841072915
Name:GOELZ, JONATHAN MICHAEL (LCSW)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:MICHAEL
Last Name:GOELZ
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14108 MAHOGANY DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-7605
Mailing Address - Country:US
Mailing Address - Phone:754-244-5601
Mailing Address - Fax:
Practice Address - Street 1:14108 MAHOGANY DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-7605
Practice Address - Country:US
Practice Address - Phone:754-244-5601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1191781041C0700X
GACSW0095341041C0700X
NJ44SC063361001041C0700X
OHI.25066541041C0700X
FLSW214371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical