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NPI Code Detail

MEDICARE: MS. SARA GOLDSMITH LCSW

MEDICARE: MS. SARA GOLDSMITH 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
11041C0700XClinical Social Worker087208NY
2104100000XSocial Worker090083NY

General Provider Information

NPI Number : 1891118550
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARA GOLDSMITH LCSW
Provider Business Mailing Address
First Line : 463 HAWTHORNE AVE
Second Line :
City : YONKERS
State : NY
Zip : 10705-3441
Country : US
Telephone Number : 914-375-8820
Fax Number :
Provider Business Practice Location Address
First Line : 463 HAWTHORNE AVE
Second Line :
City : YONKERS
State : NY
Zip : 10705-3441
Country : US
Telephone Number : 914-375-8820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2014
Last Update Date : 05/23/2022

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