Individual
CARLY GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(917) 583-3861
Mailing address
144 W 23RD ST APT 8E, NEW YORK, NY 10011-9403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095805
NY
Other
Enumeration date
10/19/2018
Last updated
04/29/2025
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