Individual provider · Type 1 NPI

Athena Wind Goldberg

Clinical Social Worker · Medford, OR

NPI number 1679554463 Active

Practice location

18 Myrtle St, Suite 102
Medford, OR 97504-7471

Call (541) 245-5577 Map

Mailing address

2180 Milford Dr
Medford, OR 97501-4348

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL3576 (OR)

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 1679554463

Athena Wind Goldberg's National Provider Identifier is 1679554463, issued on Nov 8, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Jul 13, 2026.