INNA GOLDBERG (NPI# 1649656554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649656554 |
| Entity Type | Individual |
| Full Name | INNA GOLDBERG |
| Credential | LICSW |
| Practice Address |
415 South St Ms061 Waltham MA 02453-2728 |
| Mailing Address |
25 Hosmer St Unit 3 Watertown MA 02472-1977 |
| Practice Telephone | 7817362222 |
| Practice Fax Number | 7817363731 |
| Mailing Telephone | 3472779091 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
000120356 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730199068 | Inna Goldberg | Optometrist | 6801 N California Ave, Chicago, IL 60645-4512 | 2006-08-09 |
| 1780775403 | Inna E. Goldberg | Radiology | 235 N Pearl St, Brockton, MA 02301 | 2006-09-27 |
| Street Address |
415 SOUTH ST MS061 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033585245 | Leslie Zebrowitz | Psychologist | 415 South St, Brandeis University Department of Psychology Ms 062, Waltham, MA 02453-2728 | 2015-08-12 |
| 1073905162 | Amy Krentzman | Social Worker | 415 South St, Waltham, MA 02453-2728 | 2015-02-26 |
| 1295126894 | Brandeis University | Case Manager/Care Coordinator | 415 South St, Ms061, Waltham, MA 02453-2728 | 2015-02-18 |
| 1669880696 | Jason David Byrne | Specialist/Technologist | 415 South St, Brandeis University Sports Medicine Ms007, Waltham, MA 02453-2728 | 2014-07-22 |
| 1326390816 | Nick Forti | Psychologist | 415 South St, Ms 061, Waltham, MA 02453-2728 | 2012-10-08 |
| 1578850616 | Caroline Eichmann | Counselor | 415 South St, Waltham, MA 02453-2728 | 2011-07-08 |
| 1790090124 | Laura Horn | Psychologist | 415 South St, Ms 061 Mailman House, Waltham, MA 02453-2728 | 2010-08-10 |
| 1508099797 | Jenna Marion | Psychologist | 415 South St, Brandeis University, Ms061, Waltham, MA 02453-2728 | 2009-09-03 |
| 1043466436 | Michael J Lafarr Jr. | Psychologist | 415 South St, Counseling Center, Brandeis University, Waltham, MA 02453-2728 | 2008-08-18 |
| 1932380938 | Gagan Singh Khera | Psychologist | 415 South St, Heller Building Room 345, Waltham, MA 02453-2728 | 2007-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| 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 |
|---|---|---|---|---|
| 1760082945 | Natalie Pierpont Waggaman | Social Worker | 34 Hamilton Rd, Waltham, MA 02453-1516 | 2020-10-28 |
| 1528527033 | Kelly Fanty | Social Worker | 355 Waverly Oaks Rd Ste 100, Waltham, MA 02452-8480 | 2019-03-14 |
| 1578035721 | Sarah Elizabeth Teeven | Social Worker | 17 Linden Park Dr, Waltham, MA 02452-6216 | 2018-12-28 |
| 1588132682 | Lee Ann Walker Lowe | Social Worker | 99 Bright St # 2, Waltham, MA 02453-6580 | 2018-11-06 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1699240606 | Ronda Marie Randazzo | Social Worker | 309 Waverly Oaks Rd, Waltham, MA 02452-8443 | 2018-10-05 |
| 1518442870 | Jody O Gastfriend | Social Worker | 77 4th Ave, Waltham, MA 02451-7559 | 2018-10-02 |
| 1356826614 | Jill Mcnamara | Social Worker | 77 4th Ave Ste 500, Waltham, MA 02451-7559 | 2018-10-02 |
| 1124503792 | Janet Louise Mason | Social Worker | 88 Fuller St, Waltham, MA 02453-5841 | 2018-09-30 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| Find all providers in WALTHAM | ||||
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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.