Individual provider · Type 1 NPI

Jeremiah Goldberg, LCSW

Clinical Social Worker · Holloman Afb, NM

NPI number 1679905889 Active

Practice location

280 David L Goldfein St
Holloman Afb, NM 88330-8273

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW018748 (PA)

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 1679905889

Jeremiah Goldberg, LCSW's National Provider Identifier is 1679905889, issued on Jul 30, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Holloman Afb, NM. The record was last updated on Oct 30, 2026.