Individual
LISA M GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
394 ANGELL ST, PROVIDENCE, RI 02906-4075
(401) 749-7499
Mailing address
209 5TH ST, PROVIDENCE, RI 02906-3763
(401) 272-1528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00384
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30694-4
BLUE CROSS
RI
01
—
406425
BLUE CHIP
RI
01
—
62-15758
UNITED BEHAVIORAL HEALTH
RI
Enumeration date
07/04/2006
Last updated
08/29/2025
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