Healthcare Provider Details

I. General information

NPI: 1427786029
Provider Name (Legal Business Name): ROBBIE GOLDBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 QUEEN ST
WORCESTER MA
01610-2434
US

IV. Provider business mailing address

36 ABBOTT ST APT 3F
WORCESTER MA
01602-2760
US

V. Phone/Fax

Practice location:
  • Phone: 866-549-2142
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: