JESSICA DIANE GOLDBERG (NPI# 1194058545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194058545 |
| Entity Type | Individual |
| Full Name | JESSICA DIANE GOLDBERG |
| Credential | ACSW |
| Practice Address |
456 Elm Ave Long Beach CA 90802-2426 |
| Mailing Address |
200 Pine Ave Ste 400 Long Beach CA 90802-3039 |
| Practice Telephone | 5624376717 |
| Mailing Telephone | 5622851330 |
| Mailing Fax Number | 5622633396 |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 76156 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049199 | Jessica Ann Goldberg | Dietitian, Registered | 5912 Nw 73rd Ct, Parkland, FL 33067-2445 | 2020-10-05 |
| 1043826860 | Jessica Rochelle Goldberg | Social Worker | 116 Morgan St Apt 44a, Stamford, CT 06905-5440 | 2020-09-17 |
| 1538424288 | Jessica Goldberg | Early Intervention Provider Agency | 1996 Central Dr S, East Meadow, NY 11554-5122 | 2012-07-09 |
| 1497013874 | Jessica Kirpala Anne Goldberg | Counselor | 2049 Ne 16th Ter, Gainesville, FL 32609-3957 | 2012-04-24 |
| 1265929251 | Jessica Etkin Goldberg | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1014 | 2018-04-16 |
| 1013392208 | Jessica Goldberg | Audiologist | 927 N Brightleaf Blvd, Smithfield, NC 27577-4357 | 2015-07-29 |
| 1255733960 | Jessica Goldberg | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2014-09-24 |
| 1366868200 | Jessica Goldberg | Physical Therapist | 2630 Holme Ave, Philadelphia, PA 19152-3004 | 2014-03-17 |
| 1407148711 | Jessica Dawn Goldberg | Speech-Language Pathologist | 200 E 94th St, Apartment 1216, New York, NY 10128-3903 | 2011-05-04 |
| Street Address |
456 ELM AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649304783 | Esther Wang | Social Worker | 456 Elm Ave, Long Beach, CA 90802-2426 | 2007-03-14 |
| 1942811666 | Adewole Williams | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2020-08-14 |
| 1073143012 | Aubree Skyler Ocana | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2020-01-17 |
| 1235773045 | Parchae Heard | Licensed Psychiatric Technician | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-11-05 |
| 1215579917 | Jasmine Michelle Hernandez | Case Manager/Care Coordinator | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-10-14 |
| 1326699554 | Matthew Brett Ambrose | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-29 |
| 1659920866 | Melissa A Reyna | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-10 |
| 1952950446 | Bradley I Hinds | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-06 |
| 1578112447 | Cora Maxwell Orrett | Registered Nurse | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-04 |
| 1245888726 | Evan Brown Kuchel | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1104440163 | Jason Giang | Social Worker | 4510 E Pacific Coast Hwy Ste 590, Long Beach, CA 90804-6936 | 2020-06-04 |
| 1144843251 | John Michael Rodriguez | Social Worker | 1123 E 1st St Apt 2, Long Beach, CA 90802-5698 | 2020-05-22 |
| 1184103343 | Alexis Marie Bracken | Social Worker | 3939 Atlantic Ave Ste 213, Long Beach, CA 90807-3535 | 2018-08-08 |
| 1134619018 | Kelly Michelle Moore | Social Worker | 446 Pinecrest Cir, Long Beach, MS 39560-3639 | 2018-05-16 |
| 1225525967 | Ashley Rastello | Social Worker | 2-12 W Park Ave Ste 200, Long Beach, NY 11561-2020 | 2018-04-18 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1326577594 | Danielle Anderson | Social Worker | 113 Beach Park Pl, Long Beach, MS 39560-6223 | 2017-06-09 |
| 1215461470 | Jennifer Carbajal | Social Worker | 25 W Broadway Apt 201, Long Beach, NY 11561-4026 | 2017-04-14 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.