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NPI Code Detail

MEDICARE: MS. DARA ROSE GOLDBERG LMSW

MEDICARE:  MS. DARA ROSE GOLDBERG  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
11041C0700XClinical Social Worker102293-01NY

General Provider Information

NPI Number : 1528641578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DARA ROSE GOLDBERG LMSW
Provider Business Mailing Address
First Line : 7901 BROADWAY
Second Line :
City : ELMHURST
State : NY
Zip : 11373-1329
Country : US
Telephone Number : 718-334-4330
Fax Number :
Provider Business Practice Location Address
First Line : 7901 BROADWAY
Second Line :
City : ELMHURST
State : NY
Zip : 11373-1329
Country : US
Telephone Number : 718-334-4330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2021
Last Update Date : 03/09/2026

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Directions to “ MS. DARA ROSE GOLDBERG LMSW” Practice Location

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