Individual provider · Type 1 NPI

Larry Allen Goldman, LICSW

Clinical Social Worker · Brooklyn Center, MN

NPI number 1336244425 Active

Practice location

6860 Shingle Creek Pkwy, Suite 116
Brooklyn Center, MN 55430-1411

Fax (763) 503-1430

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X539 (MN)

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 1336244425

Larry Allen Goldman, LICSW's National Provider Identifier is 1336244425, issued on Sep 13, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn Center, MN. The record was last updated on Jul 8, 2007.