Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY ALLEN GOLDMAN, LICSW
ActiveMR. LARRY ALLEN GOLDMAN, LICSW is a Clinical Social Worker healthcare provider located in BROOKLYN CENTER, Minnesota. NPI 1336244425 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BROOKLYN CENTER, MN
Registration Details
- NPI Number
- 1336244425
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2006 (19.87889992617 yrs)
- Last Updated
- Jul 8, 2007
- License
-
539 (MN)
Practice Information
- Address
-
6860 SHINGLE CREEK PKWYSUITE 116BROOKLYN CENTER, MN, 554301411Browse MN providers · Browse ZIP 55430
- Phone
- 7635604860
- Fax
- 7635031430
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BROOKLYN CENTER, MN
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL ALLEN GUYMON | MSW LCSW | 1568403897 |
| DIANE MATHISEN | MSW,LICSW | 1821194085 |
| RANDY JUDD SWANSON | LICSW | 1528155140 |
| AMY PATRICE KUUSISTO-LATHROP | MSW, LICSW | 1275699381 |
| JOHN P MITCHELL | — | 1487796280 |
| MARY C SHANNON-MYER | — | 1548302276 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.