MEDICARE: MR. JONATHAN MICHAEL GOELZ 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	101695	NY
2	1041C0700X	Clinical Social Worker	LCSW119178	CA
3	1041C0700X	Clinical Social Worker	I.2506654	OH
4	1041C0700X	Clinical Social Worker	44SC06336100	NJ
5	1041C0700X	Clinical Social Worker	CSW009534	GA
6	1041C0700X	Clinical Social Worker	SW21437	FL

General Provider Information

NPI Number	:	1841072915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JONATHAN MICHAEL GOELZ LCSW

Provider Business Mailing Address
First Line	:	14108 MAHOGANY DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-7605
Country	:	US
Telephone Number	:	754-244-5601
Fax Number	:

Provider Business Practice Location Address
First Line	:	14108 MAHOGANY DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-7605
Country	:	US
Telephone Number	:	754-244-5601
Fax Number	:

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

Provider Enumeration Date	:	10/13/2023
Last Update Date	:	12/09/2025

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