MEDICARE: ELLIOT E GOLDBERG

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	LW00006378	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LW00006378	OTHER	WA	CREDENTIAL NUMBER

General Provider Information

NPI Number	:	1912264714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIOT E GOLDBERG

Provider Business Mailing Address
First Line	:	1637 CALIFORNIA AVE SW APT 4
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-1654
Country	:	US
Telephone Number	:	206-545-2818
Fax Number	:

Provider Business Practice Location Address
First Line	:	1637 CALIFORNIA AVE SW APT 4
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-1654
Country	:	US
Telephone Number	:	206-545-2818
Fax Number	:

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

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	04/18/2012

Similar Medicare Providers

1588528939 — SABRINA DEBESSAI
Practice Location Address:

3714 S OREGON ST
SEATTLE, WA
98118-1654

Practice Phone: 951-570-2170
Practice Fax:

1225173792 — DARREN G DILLEY PT
Practice Location Address:

4100 SW 109TH ST
SEATTLE, WA
98146-1654

Practice Phone: 414-581-2295
Practice Fax:

1760641104 — MRS. SUZANNE LOUISE LYNCH MPT
Practice Location Address:

101 NICKERSON ST , SUITE 110
SEATTLE, WA
98109-1654

Practice Phone: 206-402-4732
Practice Fax:

1306154125 — CHRIS JOHNSON PT PLLC
Practice Location Address:

101 NICKERSON ST , SUITE 150
SEATTLE, WA
98109-1654

Practice Phone: 347-721-6789
Practice Fax:

1982144655 — DR. PATRICK SILVA
Practice Location Address:

101 NICKERSON ST , STE 140
SEATTLE, WA
98109-1654

Practice Phone: 206-486-1648
Practice Fax:

1184078594 — RACHEL ANN KOPICKI M.D.
Practice Location Address:

3400 CALIFORNIA AVE SW
SEATTLE, WA
98116-3307

Practice Phone: 206-933-1041
Practice Fax: 206-933-1047

Directions to “ ELLIOT E GOLDBERG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.