Individual provider · Type 1 NPI

Mark David Goldenberg

Clinical Social Worker · Los Angeles, CA

NPI number 1376237917 Active

Practice location

11301 Wilshire Blvd, Bldg 217, Rm 226
Los Angeles, CA 90073-1003

Mailing address

6230 Wilshire Blvd Ste A
Los Angeles, CA 90048-5126

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X129408 (CA)
Social Worker 104100000XASW85274 (CA)

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 1376237917

Mark David Goldenberg's National Provider Identifier is 1376237917, issued on Jun 6, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on May 20, 2026.