=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790681351
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MS. SUZANNE B GOLDSTEIN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2026
-----------------------------------------------------
Last Update Date | 10/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 94 KING ST
-----------------------------------------------------
City | NORTHAMPTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01060-3284
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-341-2288
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 154 OAK ST
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01062-1329
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-858-1213
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 230787
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------