Mr Jeremiah Goldberg, LCSW in Kirtland Afb, NM - Social Worker

Mr Jeremiah Goldberg, LCSW is a Social Worker - Clinical based in Kirtland Afb, New Mexico. Mr Jeremiah Goldberg is licensed to practice in Pennsylvania (license number CW018748) and his current practice location is 2050a 2nd St Se, Kirtland Afb, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 846-3200.

NPI number for Mr Jeremiah Goldberg is 1679905889 and his current mailing address is 2050a 2nd St Se, Kirtland Afb, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679905889.

Contact Information

	Mr Jeremiah Goldberg, LCSW
	2050a 2nd St Se, Kirtland Afb, NM 87117-5003
	(505) 846-3200
	Not Available

Healthcare Provider's Profile

Full Name	Mr Jeremiah Goldberg
Gender	Male
Speciality	Social Worker - Clinical
Location	2050a 2nd St Se, Kirtland Afb, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1679905889
Provider Enumeration Date: 07/30/2013
Last Update Date: 08/04/2021

Medical Identifiers

Medical identifiers for Mr Jeremiah Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679905889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CW018748 (Pennsylvania)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeremiah Goldberg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jeremiah Goldberg, LCSW 2050a 2nd St Se, Kirtland Afb, NM 87117-5901 Ph: () -	Mr Jeremiah Goldberg, LCSW 2050a 2nd St Se, Kirtland Afb, NM 87117-5003 Ph: (505) 846-3200

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Social Worker in Kirtland Afb, NM

Paige Loreen Andre-hudson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200
Tina Yvette Bryant, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2050 A Second St, Se, Kirtland Afb, NM 87117 Phone: 505-846-3305 Fax: 505-846-3295
Mrs. Lesley Dale Pacheco, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2050 A 2nd Street, Kirtland Afb, NM 87117 Phone: 505-846-0139 Fax: 505-846-6250
Lisa C Whitney, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 377 Mdg/sgoh, 2050a Second Street Se, Kirtland Afb, NM 87117 Phone: 505-846-3305
Adrianna Miller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200
M. Melisse Barlow, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2050a Second St. Se, Kirtland Afb, NM 87117 Phone: 505-853-4350
Kim M Romero, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-933-1482

Mr Jeremiah Goldberg, LCSW - Clinical Social Worker in Kirtland Afb, NM