Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARJORIE PROVOST GOLDBAUM, LICSW LADC
ActiveMARJORIE PROVOST GOLDBAUM, LICSW LADC is a Clinical Social Worker healthcare provider located in CHELMSFORD, Massachusetts. NPI 1407869704 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CHELMSFORD, MA
Registration Details
- NPI Number
- 1407869704
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2006 (19.981342659383 yrs)
- Last Updated
- Feb 2, 2016
- Licenses
-
110711 (MA)1530 (MA)
Practice Information
- Address
-
201 CHELMSFORD STCHELMSFORD, MA, 018242359Browse MA providers · Browse ZIP 01824
- Phone
- 9782561467
- Fax
- 9782567465
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Clinical Social Worker Providers in CHELMSFORD, MA
| Name | Credential | NPI |
|---|---|---|
| JUDITH D POWSNER | LICSW, LADC | 1851375844 |
| MR. NORMAND A GINGRAS | LICSW | 1548208341 |
| MRS. AMY DOOLIN BRUNACCINI | LICSW | 1386682151 |
| KAREN MCGAHAN | LICSW | 1083653844 |
| JUDITH M. LEE | LICSW | 1225078439 |
| MS. WENDLA DOROTHY WINDT | LICSW,CADACII,LADC | 1821034802 |
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.