Healthcare Provider Details

I. General information

NPI: 1578420162
Provider Name (Legal Business Name): AMBER GOLDMAN LCSW, PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 SILVER AVE
SAN FRANCISCO CA
94124-2032
US

IV. Provider business mailing address

2055 SILVER AVE
SAN FRANCISCO CA
94124-2032
US

V. Phone/Fax

Practice location:
  • Phone: 415-642-8901
  • Fax:
Mailing address:
  • Phone: 415-642-8901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number62879
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: