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NPI Code Detail

MEDICARE: MAGNOLIA ESTHER GOMAN LCSW

MEDICARE: MAGNOLIA ESTHER GOMAN LCSW
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 Worker44SC06487300NJ
21041C0700XClinical Social Worker089609NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932555208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGNOLIA ESTHER GOMAN LCSW
Provider Business Mailing Address
First Line : 667 STONELEIGH AVE STE 202
Second Line :
City : CARMEL
State : NY
Zip : 10512-2455
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 275 BROADHOLLOW RD STE 120
Second Line :
City : MELVILLE
State : NY
Zip : 11747-4863
Country : US
Telephone Number : 845-279-5908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2016
Last Update Date : 07/29/2025

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Directions to “ MAGNOLIA ESTHER GOMAN LCSW” Practice Location

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