Provider Demographics
NPI:1982752309
Name:GOLDMANN, GERI (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:GERI
Middle Name:
Last Name:GOLDMANN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 KING ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1940
Mailing Address - Country:US
Mailing Address - Phone:650-369-9309
Mailing Address - Fax:650-369-9309
Practice Address - Street 1:152 KING ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1940
Practice Address - Country:US
Practice Address - Phone:650-369-9309
Practice Address - Fax:650-369-9309
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 119141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical