MR. LARRY ALLEN GOLDMAN LICSW
NPI 1336244425
Social Worker - Clinical in Brooklyn Center, MN

Q: What is Larry Goldman's NPI number?

The NPI number for Larry Goldman is 1336244425. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Larry Goldman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Larry Goldman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 13, 2006

6860 SHINGLE CREEK PKWY, SUITE 116, BROOKLYN CENTER, MN 55430(763) 560-4860(763) 503-1430 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Larry Allen Goldman Licsw NPPES

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

MR. LARRY ALLEN GOLDMAN LICSW (NPI 1336244425) is an individual clinical provider in Brooklyn Center, Minnesota, licensed in Minnesota (539) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1336244425

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. LARRY ALLEN GOLDMANCredential: LICSW

Location Address6860 SHINGLE CREEK PKWY, SUITE 116Brooklyn Center, MN 55430-1411

Mailing Address6860 Shingle Creek Pkwy, Suite 116Brooklyn Center, MN 55430-1411 · (763) 560-4860 · Fax (763) 503-1430

Phone(763) 560-4860

Fax(763) 503-1430

Sole ProprietorNo

Enumeration DateSeptember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336244425 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 MN · 539

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.

6860 SHINGLE CREEK PKWY, Brooklyn Center, MN 55430

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Other Providers at the Same Location NPPES 7

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

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