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NPI Code Detail

MEDICARE: RACHEL ESTHER GOLDSTEIN LMSW

MEDICARE: RACHEL ESTHER GOLDSTEIN LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
21041C0700XClinical Social Worker6801109492MI

General Provider Information

NPI Number : 1033686621
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ESTHER GOLDSTEIN LMSW
Provider Business Mailing Address
First Line : 2535 E MOUNT HOPE AVE OFC 4
Second Line :
City : LANSING
State : MI
Zip : 48910-1913
Country : US
Telephone Number : 248-798-3025
Fax Number :
Provider Business Practice Location Address
First Line : 204 E WASHINGTON ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-2070
Country : US
Telephone Number : 734-478-7358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2018
Last Update Date : 07/11/2024

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