MEDICARE: DR. VICTORIA K GOLDSTEN HD, LPN, LMT, LAC

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
1	174H00000X	Health Educator	HE301
2	164W00000X	Licensed Practical Nurse	LP12542	MD
3	175L00000X	Homeopath	HD1001
4	171100000X	Acupuncturist	96266	WV
5	225700000X	Massage Therapist	MT103	DC
6	225700000X	Massage Therapist	M00938	MD
7	164W00000X	Licensed Practical Nurse	LPN8515	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HD1001	OTHER		HOLISTIC SERVICES AGENCY
2	HE301	OTHER		HOLISTIC SERVICE AGENCY
3	LP12543	OTHER	MD	BOARD OF NURSING
4	MT103	OTHER	DC	BOARD OF MASSAGE
5	M00938	OTHER	MD	BOARD OF MASSASGE
6	96266	OTHER	WV	ACUPUNCTURIST
7	LPN8515	OTHER	DC	BOARD OF NURSING

General Provider Information

NPI Number	:	1447562673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA K GOLDSTEN HD, LPN, LMT, LAC

Provider Business Mailing Address
First Line	:	3701 CONNECTICUT AVE NW STE 1
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-4500
Country	:	US
Telephone Number	:	202-237-7681
Fax Number	:

Provider Business Practice Location Address
First Line	:	3701 CONNECTICUT AVE NW STE 1
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-4500
Country	:	US
Telephone Number	:	202-686-8202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2010
Last Update Date	:	12/06/2025

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