Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. VICTOR JAMES GOLDMAN LCSW
NPI 1104866094
Social Worker - Clinical in Port Jefferson Station, NY

Q: What is Victor Goldman's NPI number?

The NPI number for Victor Goldman is 1104866094. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Victor Goldman's specialty?

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

Q: Is Victor Goldman enrolled in Medicare?

No. Victor Goldman has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Victor Goldman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.

Active since June 07, 2006Opted out of Medicare · through Jan 1, 2028

1050 HALLOCK AVE, SUITE 4, PORT JEFFERSON STATION, NY 11776(631) 928-4114(631) 476-0766 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Victor James Goldman Lcsw NPPES

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

MR. VICTOR JAMES GOLDMAN LCSW (NPI 1104866094) is an individual clinical provider in Port Jefferson Station, New York, licensed in New York (LCSWR011981) and active in the NPI registry since June 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104866094

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. VICTOR JAMES GOLDMANCredential: LCSW

Location Address1050 HALLOCK AVE, SUITE 4Port Jefferson Station, NY 11776-1214

Mailing Address1050 Hallock Ave, Suite 4Port Jefferson Station, NY 11776-1214 · (631) 928-4114 · Fax (631) 476-0766

Phone(631) 928-4114

Fax(631) 476-0766

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1104866094 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 · LCSWR011981

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.

1050 HALLOCK AVE, Port Jefferson Station, NY 11776

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Victor James Goldman Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $67.40 – $203.53

Typical copayment $0.00 (range $16.85 – $50.88)

Most-billed visit code NA

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MS. AMY ELIZABETH MILLHEISER LCSW

Social Worker (Clinical)

1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (516) 443-0363

MS. RONNIE L. STEINER LCSW-R, CASAC

Social Worker (Clinical)

1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (516) 446-8368

MR. PAUL W. ZAMPIERON LCSW-R

Social Worker (Clinical)

1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 680-0304

DR. JEFFREY PETER STEIGMAN PSY.D.

Psychologist (Clinical)

1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 474-8552

MRS. SUZANNE SIMEONE LMHC

Counselor (Mental Health)

1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 834-8967

JENNIFER DAMATO LCSW

Social Worker (Clinical)

1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 560-9115

DR. JENNY A HWANG PH.D.

Psychologist (Clinical)

1050 HALLOCK AVE, SUITE 1
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 384-8461

ELENA CASTRIOTA

Social Worker

1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (845) 803-2498

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 Victor Goldman's NPI number?

The NPI number for Victor Goldman is 1104866094. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Victor Goldman located?

Victor Goldman practices at 1050 Hallock Ave Suite 4, Port Jefferson Station, NY 11776. The listed phone number is (631) 928-4114.

What is Victor Goldman's specialty?

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

Is Victor Goldman enrolled in Medicare?

No. Victor Goldman has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Victor Goldman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.