LAURA GOLDBLUM (NPI# 1639652779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639652779 |
| Entity Type | Individual |
| Full Name | LAURA GOLDBLUM |
| Credential | LCSW |
| Practice Address |
1450 Chapel Childrens Hospital 1450 Chapel Street New Haven CT 06510 |
| Mailing Address |
20 York Street Social Work Department Ep10-635 New Haven CT 06510 |
| Practice Telephone | 2036882195 |
| Practice Fax Number | 2036882395 |
| Mailing Telephone | 2036882195 |
| Mailing Fax Number | 2036882395 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3296 | CT | Behavioral Health & Social Service Providers |
| Street Address |
1450 CHAPEL CHILDRENS HOSPITAL 1450 CHAPEL STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| 1407346703 | Eric Isaac Elliott | Student in an Organized Health Care Education/Training Program | 20 York Street Ynhh - Department of Internal Medicine, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252995 | Peter James Butler | Social Worker | 580 Dixwell Ave, New Haven, CT 06511-1744 | 2020-10-16 |
| 1639785363 | Rita J Wagner | Social Worker | 81 Lenox St, New Haven, CT 06513-4420 | 2020-09-18 |
| 1659983740 | Neta Korem | Social Worker | 135 Canner St, New Haven, CT 06511-2201 | 2020-08-19 |
| 1568074136 | Jalena Louise Robertson Adams | Social Worker | 2218 Lyons Station Rd, New Haven, KY 40051-8723 | 2020-08-17 |
| 1588272744 | Angela Monique Avery | Social Worker | 1423 Chapel St Ste 2r, New Haven, CT 06511-4411 | 2020-07-14 |
| 1427675255 | Tatiana Martinez | Social Worker | 350 George St Fl 2, New Haven, CT 06511-6617 | 2020-06-27 |
| 1275167959 | Cheyenne Taylor | Social Worker | 911-913 State St, Sscs, New Haven, CT 06511-3926 | 2020-03-03 |
| 1093349862 | Becoming You Therapy | Social Worker | 14 Trumbull St Ste 103, New Haven, CT 06511-6312 | 2020-03-02 |
| 1245880418 | Estela Lopez-de Lara | Social Worker | 455 Orange St Ofc 1, New Haven, CT 06511-6202 | 2019-09-18 |
| 1710549753 | Adna Linden | Social Worker | 35 Elm St Ste 1c, New Haven, CT 06510-2023 | 2019-06-30 |
| Find all providers in NEW HAVEN | ||||
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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.