MEDICARE: RACHELLE PAVAO GOLDENBERG LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	130419	CA

General Provider Information

NPI Number	:	1306732227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHELLE PAVAO GOLDENBERG LCSW

Provider Business Mailing Address
First Line	:	344 RAILROAD AVE STE 200B
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-3820
Country	:	US
Telephone Number	:	866-866-1904
Fax Number	:

Provider Business Practice Location Address
First Line	:	344 RAILROAD AVE STE 200B
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-3820
Country	:	US
Telephone Number	:	866-866-1904
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	01/27/2026

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