NPI Code Details Logo

NPI 1992642409

NPI 1992642409 : RACHEL BETH GOLDBERG MSW : MARIETTA, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992642409
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RACHEL BETH GOLDBERG MSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/01/2026
-----------------------------------------------------
    Last Update Date     |    05/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4705 WALDEN LN 
-----------------------------------------------------
    City                 |    MARIETTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30062-5674
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-964-8948
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4705 WALDEN LN # 1320 
-----------------------------------------------------
    City                 |    MARIETTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30062-5674
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-964-8948
-----------------------------------------------------
    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       |    MSW005046
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.