Individual provider · Type 1 NPI

Victor James Goldman, LCSW

Clinical Social Worker · Port Jefferson Station, NY

NPI number 1104866094 Active

Practice location

1050 Hallock Ave, Suite 4
Port Jefferson Station, NY 11776-1214

Call (631) 928-4114 Map

Fax (631) 476-0766

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSWR011981 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1104866094

Victor James Goldman, LCSW's National Provider Identifier is 1104866094, issued on Jun 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 13, 2026.