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NPI Code Detail

MEDICARE: AUGUST GOLDSMITH ASW

MEDICARE: AUGUST GOLDSMITH ASW
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 CounselorASW113146CA
2104100000XSocial WorkerASW113146CA

General Provider Information

NPI Number : 1871292771
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUGUST GOLDSMITH ASW
Provider Business Mailing Address
First Line : 2640 MARTIN LUTHER KING JR WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94704-3238
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2640 MARTIN LUTHER KING JR WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94704-3238
Country : US
Telephone Number : 510-867-1307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2023
Last Update Date : 12/10/2025

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Directions to “ AUGUST GOLDSMITH ASW” Practice Location

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