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NPI Code Detail

MEDICARE: MRS. CYNTHIA JANET GOLDBERG MSW

MEDICARE:  MRS. CYNTHIA JANET GOLDBERG  MSW
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
1101YM0800XMental Health CounselorE-623OH
21041C0700XClinical Social WorkerI-3430OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E-623OTHEROHLPCC
2I-3430OTHEROHLISW

General Provider Information

NPI Number : 1063483089
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA JANET GOLDBERG MSW
Provider Business Mailing Address
First Line : 23811 CHAGRIN BLVD
Second Line : SUITE LL56
City : BEACHWOOD
State : OH
Zip : 44122-5525
Country : US
Telephone Number : 216-464-6727
Fax Number :
Provider Business Practice Location Address
First Line : 23811 CHAGRIN BLVD
Second Line : SUITE LL56
City : BEACHWOOD
State : OH
Zip : 44122-5525
Country : US
Telephone Number : 216-464-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2006
Last Update Date : 09/11/2025

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Directions to “ MRS. CYNTHIA JANET GOLDBERG MSW” Practice Location

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