Healthcare Provider Details

I. General information

NPI: 1548605306
Provider Name (Legal Business Name): BIANCA VENTURA GOLDMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. BIANCA VENTURA

II. Dates (important events)

Enumeration Date: 05/07/2013
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MAIN ST C/O WJCS
PEEKSKILL NY
10566-2907
US

IV. Provider business mailing address

58 PAMELA RD
CORTLANDT MANOR NY
10567-7118
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-7338
  • Fax: 914-737-1050
Mailing address:
  • Phone: 914-737-7338
  • Fax: 914-737-1050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number080075
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: