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AYELET P GOLDBERG, LCSW, PLLC
NPI 1003368879
Social Worker - Clinical in Fresh Meadows, NY

Active since October 27, 2016
6143 186TH ST STE 312, FRESH MEADOWS, NY 11365(917) 923-7644 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2018, Oct 27, 2016 (2 updates tracked since 2016).

About Ayelet P Goldberg, Lcsw, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AYELET P GOLDBERG, LCSW, PLLC (NPI 1003368879) is a healthcare organization registered as a clinical in Fresh Meadows, New York and active in the NPI registry since October 2016. The organization lists Ayelet P Goldberg, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1003368879
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAYELET P GOLDBERG, LCSW, PLLC
Location Address6143 186TH ST STE 312Fresh Meadows, NY 11365-2710
Mailing Address6143 186th St Ste 312Fresh Meadows, NY 11365-2710 · (917) 923-7644
Phone(917) 923-7644
Organization SubpartNo
Authorized OfficialAyelet P GoldbergSocial Worker · (917) 923-7644
Enumeration DateOctober 27, 2016
Last NPPES UpdateApril 16, 20182 updates tracked since enumeration
✔ NPI 1003368879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 082421
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6143 186TH ST STE 312, Fresh Meadows, NY 11365
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AYELET PELMAN GOLDBERG LCSW, MFT
Social Worker
6143 186TH ST STE 312
FRESH MEADOWS, NY 11365
Queens County (917) 923-7644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ayelet P Goldberg, Lcsw, PLLC's NPI number?

The NPI number for Ayelet P Goldberg, Lcsw, PLLC is 1003368879. It was assigned to this organization in the NPPES registry on October 27, 2016.

Where is Ayelet P Goldberg, Lcsw, PLLC located?

Ayelet P Goldberg, Lcsw, PLLC is located at 6143 186th St Ste 312, Fresh Meadows, NY 11365. The listed phone number is (917) 923-7644.

What is Ayelet P Goldberg, Lcsw, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Ayelet P Goldberg, Lcsw, PLLC was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.