JACOB GOLDSTEIN


Address: 2506 Willowbrook Pkwy, Indianapolis, IN 46205-1564
Phone: 7652881928

JACOB GOLDSTEIN (NPI# 1902212582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902212582
Entity Type Individual
Full Name JACOB GOLDSTEIN
Practice Address 2506 Willowbrook Pkwy
Indianapolis
IN 46205-1564
Mailing Address 240 N Tillotson Ave
Muncie
IN 47304-3988
Practice Telephone 7652881928
Practice Fax Number 3172171769
Mailing Telephone 7652881928
Mailing Fax Number 7657410335
Enumeration Date 2014-07-03
Last Update Date 2015-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
87000403A IN Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
34006843A IN Behavioral Health & Social Service Providers

Other Providers JACOB GOLDSTEIN

NPI Name Taxonomy Address Enumeration
1003896374 Jacob B. Goldstein Podiatrist 230-c East Main St., Gardner, KS 66030-1643 2006-01-20
1053674242 Jacob S Goldstein Internal Medicine 625 S New Ballas Rd Ste 2015, Saint Louis, MO 63141-8253 2012-06-21

Office Location

Street Address 2506 WILLOWBROOK PKWY
City INDIANAPOLIS
State IN
Zip Code 46205-1564

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346248820 Dan C Brown Social Worker 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 2005-07-08
1619419439 John David Meteer Psychologist 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 2016-11-10
1104204312 Stephen Morrow Counselor 2506 Willowbrook Pkwy, Suite 102, Indianapolis, IN 46205-1564 2015-05-08
1225416571 Jada Svoboda Social Worker 2506 Willowbrook Pkwy, Suite 102, Indianapolis, IN 46205-1564 2015-05-07
1831589142 Jacqueline Peoples Social Worker 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 2015-01-26
1023414265 Uriah Graham Counselor 2506 Willowbrook Pkwy, Suite 200, Indianapolis, IN 46205-1564 2014-11-17
1447654330 Alicia Simle Psychologist 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 2014-10-21
1174926539 Angela Bell Social Worker 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 2014-09-30
1295134922 Natalie Wallace Counselor 2506 Willowbrook Pkwy, Suite 102, Indianapolis, IN 46205-1564 2014-08-19
1821404880 Romelita Tavarez Counselor 2506 Willowbrook Pkwy, Suite 102, Indianapolis, IN 46205-1564 2014-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003383233 Bombeauty Supply and Salon Durable Medical Equipment & Medical Supplies 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 2018-10-25
1376034165 Sade Trenise Evans Behavior Technician 4740 Kingsway Drive, Indianapolis, IN 46205 2018-05-29
1972057354 Danielle Mandigo Social Worker 4068 Winthrop Ave, Indianapolis, IN 46205 2016-08-15
1386032613 Hear Indiana Inc Speech-Language Pathologist 4740 Kingsway Dr., Suite 33, Indianapolis, IN 46205 2015-01-09
1114237336 Greenhouse and Associates Inc. Psychologist 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 2010-10-21
1265686638 Crown Medical Transportation Non-emergency Medical Transport (VAN) 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 2008-11-11
1003075912 Monica Silvia Oclander Nurse Practitioner Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 2008-06-05
1881895647 Amber Casto Counselor 2626 East 46th Street, Suite J, Indianapolis, IN 46205 2007-05-30
1952502098 Challenge Foundation Academy Contractor 3980 Meadows Dr., Indianapolis, IN 46205 2007-05-29
1588871909 Korinne Fox Social Worker 3675 N, Washington Blvd., Indianapolis, IN 46205 2007-05-16
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942808886 Joan Marie Witt Social Worker 205 E Hickory Ln, Indianapolis, IN 46227-2447 2020-10-13
1821695008 Belinda Shelton Gamble Social Worker 9650 E Washington St Ste 245, Indianapolis, IN 46229-3032 2020-10-01
1225642234 Charlotte Cox Social Worker 124 N Oriental St, Indianapolis, IN 46202-3842 2020-09-07
1477167641 Laura Marie Lines Social Worker 9165 Otis Ave Ste 215, Indianapolis, IN 46216-2316 2020-09-03
1477167815 Cydaria Lashon Cooke Social Worker 7909 Preservation Dr, Indianapolis, IN 46278-9553 2020-09-02
1790396760 Restored Pieces LLC Social Worker 7210 Mars Dr, Indianapolis, IN 46241-3693 2020-08-13
1215546973 Tammy M Skinner Social Worker 1633 N Capitol Ave # Mt301, Indianapolis, IN 46202-1261 2020-07-29
1922626092 Heartland Healing Counseling Services Social Worker 2432 Conservatory Dr Fl 2, Indianapolis, IN 46203-3985 2020-07-06
1710504980 Salma Mohiuddin Social Worker 3418 Bodelva Ln, Indianapolis, IN 46228-2894 2020-07-02
1427673052 Sanders Empowerment Services LLC Social Worker 5026 Clarkson Drive, Indianapolis, IN 46254 2020-06-09
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Competitor

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City INDIANAPOLIS
Zip Code 46205

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Dataset Information

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.

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