MR. JEREMIAH GOLDBERG (NPI# 1679905889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679905889 |
| Entity Type | Individual |
| Full Name | MR. JEREMIAH GOLDBERG |
| Credential | LCSW |
| Practice Address |
300 Tuskegee Blvd Bldg 300 Dover Afb DE 19902-5003 |
| Mailing Address |
622 E Johnson St Philadelphia PA 19138-1012 |
| Practice Telephone | 3026772674 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2018-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW018748 | PA | Behavioral Health & Social Service Providers |
| Street Address |
300 TUSKEGEE BLVD BLDG 300 |
| City | DOVER AFB |
| State | DE |
| Zip Code | 19902-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144635350 | Fahad Pervez | Family Medicine | 300 Tuskegee Blvd Bldg 300, Dover Afb, DE 19902-5003 | 2014-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316434632 | Leanne Mccarron | Dentist | Dover Afb, 436 Omrs/sgpd, Apo, AA 19902 | 2018-04-23 |
| 1568892446 | Ami Campbell | Veterinarian | 643 Atlantic Ave, Dover, DE 19902 | 2013-11-14 |
| 1609135045 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 266, Arnold Drive, Dover Afb, DE 19902 | 2012-05-04 |
| 1316360555 | Susan Donges | Social Worker | 300 Tuskegee Blvd, Dover, DE 19902 | 2014-01-23 |
| 1760726699 | Randall S Hicks | Nurse Practitioner | 300 Tuskegee Blvd, Dover Afb, DE 19902 | 2012-11-15 |
| 1679869713 | Danielle Annette Dufresne | Family Medicine | 300 Tuskegee Blvd, Dover Afb, DE 19902 | 2011-06-28 |
| 1801031570 | Nathan Tye Smith | Psychologist | 300 Tuskegee Blvd, Dover Afb, Dover, DE 19902 | 2008-12-10 |
| 1700080363 | Dori Mitchell Franco | Pathology | 115 Purple Heart Ave, Dover Afb, DE 19902 | 2007-06-14 |
| 1053449801 | Marcella Marie Fleming | Pharmacist | 300 Tuskegee Blvd, Dover Afb, DE 19902 | 2007-03-02 |
| 1225164080 | Catherine Mary Jennings | Dietitian, Registered | 300 Tuskegee Blvd, 436 Ados Sggz, Dover Afb, DE 19902 | 2007-02-26 |
| Find all providers in zip 19902 | ||||
| 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 |
|---|---|---|---|---|
| 1750793972 | Tara Lynn Dick | Social Worker | 300 Tuskegee Blvd, Dover Afb, DE 19902-5003 | 2014-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160495 | Annie Paul | Social Worker | 49 Savoy Rd, Christiana, DE 19702-8615 | 2020-10-04 |
| 1285249797 | Lucinda M Cadet | Social Worker | 600 N. Broad Street, Suite 5, #768, Middletown, DE 19709 | 2020-09-11 |
| 1073121448 | Heart Matters LLC | Social Worker | 1018 N Barrett Ln, Newark, DE 19702-6912 | 2020-07-21 |
| 1689292146 | Joni Newby | Social Worker | 115 Grand Canyon Ct, Bear, DE 19701-1784 | 2020-07-10 |
| 1649895368 | Macie Quarles | Social Worker | 719 Bicentennial Blvd, Dover, DE 19904-7601 | 2020-06-09 |
| 1003430356 | Keina Tirrell | Social Worker | 29611 Sawyer Loop, Millsboro, DE 19966-1310 | 2020-06-02 |
| 1225652589 | Brooke Sharlow | Social Worker | 523 S Red Haven Ln, Dover, DE 19901-6407 | 2020-06-02 |
| 1740802784 | Kelly Barto | Social Worker | 590 Naamans Rd, Claymont, DE 19703-2308 | 2020-05-13 |
| 1063031417 | Sanamente: A Center for Growth LLC | Social Worker | 1148 Pulaski Hwy, Bear, DE 19701-1306 | 2020-04-15 |
| 1649808528 | Jessie Therese Redden | Social Worker | 5235 W Woodmill Dr Ste 47, Wilmington, DE 19808-4068 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JEREMIAH GOLDBERG.
| 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.