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Individual

MARILYN RENEE' GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C, LISW-CP

Contact information

Practice address
655H FAIRVIEW RD # 213, SIMPSONVILLE, SC 29680-6706
(864) 757-1095
Mailing address
655H FAIRVIEW RD # 213, SIMPSONVILLE, SC 29680-6706
(864) 757-1095
(864) 578-2920

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12636
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000641760
OPTUM BEHAVIORAL HEALTH
MD
01
3507885
CIGNA-HEALTHSPRING
MD
01
3846185
CIGNA
MD
01
600010741
MAGELLAN HEALTHCARE
MD
01
732359
BEACON HEALTH OPTIONS
MD
01
C7WFMR
CAREFIRST BLUECROSS BLUESHIELD
MD
01
Y337
CAREFIRST BLUECHOICE
MD
Enumeration date
07/15/2006
Last updated
12/18/2025
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