MARJORIE PROVOST GOLDBAUM LICSW LADC
NPI 1407869704
Social Worker - Clinical in Chelmsford, MA
NPI Status: Active since August 15, 2006
Contact Information
201 CHELMSFORD ST
CHELMSFORD, MA
ZIP 01824
Phone: (978) 256-1467
Fax: (978) 256-7465
- Individual
- Female
- Social Worker
- Clinical
About MARJORIE GOLDBAUM
This page provides the complete NPI Profile along with additional information for Marjorie Goldbaum, a provider established in Chelmsford, Massachusetts with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1407869704 assigned on August 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 110711 (MA). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1407869704
- Provider Name
- MARJORIE PROVOST GOLDBAUM LICSW LADC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 201 CHELMSFORD ST CHELMSFORD, MA 01824
- Location Phone
- (978) 256-1467
- Location Fax
- (978) 256-7465
- Mailing Address
- 201 CHELMSFORD ST CHELMSFORD, MA 01824
- Mailing Phone
- (978) 256-1467
- Mailing Fax
- (978) 256-7465
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-15-2006
- Last Update Date
- 02-02-2016
- Code Navigator
A clinical social worker like Marjorie Goldbaum is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 110711
- License State
- MA
- Taxonomy Description
- 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 1530 (MA) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 0 | 7 | 8 | 6 | 9 | 7 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 16 | 6 | 18 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 1 + 6 + 6 + 1 + 8 + 7 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1407869704 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952326084 | MS. KIRA P FURTADO LICSW Individual | Social Worker (Clinical) | 201 CHELMSFORD ST FAMV CHELMSFORD, MA 01824 (978) 256-1467 |
| 1679587588 | DR. KIMBERLY GAYE MCGLOTHIN PHD Individual | Psychologist | 201 CHELMSFORD ST FAMILY ASSOCIATES OF MERRIMACK VALLEY CHELMSFORD, MA 01824 (978) 256-1467 |
| 1821002742 | MS. PAMELA D HOLWAY LICSW Individual | Social Worker | 201 CHELMSFORD ST CHELMSFORD, MA 01824 (978) 256-1467 |
| 1720094832 | MRS. ANGELA N KOTSIFAS LMHC Individual | Counselor | 201 CHELMSFORD ST CHELMSFORD, MA 01824 (978) 256-1467 |
| 1548276652 | MS. KAREN W SIEGEL MSW LICSW Individual | Social Worker | 201 CHELMSFORD ST FAMILY ASSOCIATES OF MERRIMACK VALLEY CHELMSFORD, MA 01824 (978) 256-1467 |
| 1083620108 | DR. ERIC R ARONSON PSYD Individual | Psychologist | 201 CHELMSFORD ST CHELMSFORD, MA 01824 (978) 256-1467 |
| 1407969884 | CATHLYN M HILL MSW LICSW Individual | Social Worker | 201 CHELMSFORD ST CHELMSFORD, MA 01824 (978) 256-1467 |
| 1669644829 | MRS. SARAH RUTH GRATZ GUPTA LICSW Individual | Social Worker (Clinical) | 201 CHELMSFORD ST CHELMSFORD, MA 01824 (978) 256-1467 |
| 1780998948 | MRS. ALEXANDRA LEE BARBAR LICSW Individual | Social Worker | 201 CHELMSFORD ST CHELMSFORD, MA 01824 (978) 256-1467 |
| 1841502085 | LYNDSEY M KILLILEA LICSW Individual | Social Worker (Clinical) | 201 CHELMSFORD ST CHELMSFORD, MA 01824 (978) 256-1467 |
| 1770941585 | MAITUL H PATEL Individual | Physical Therapist | 201 CHELMSFORD ST CHELMSFORD, MA 01824 (978) 495-2889 |
| 1528603560 | R.S FYZICAL CHELMSFORD LLC Organization | Clinic/Center (Physical Therapy) | 201 CHELMSFORD ST CHELMSFORD, MA 01824 (978) 495-2889 |
| 1174536809 | ASSOCIATES OF MERRIMACK VALLEY INC Organization | Clinic/Center (Adult Mental Health) | 201 CHELMSFORD ST CHELMSFORD, MA 01824 (978) 256-1467 |
| 1275352981 | ROSALBA MICIELI LMT Individual | Massage Therapist | 201 CHELMSFORD ST CHELMSFORD, MA 01824 (617) 389-3828 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407869704, enumerated in the NPI registry as an "individual" on August 15, 2006
The provider is located at 201 Chelmsford St Chelmsford, Ma 01824 and the phone number is (978) 256-1467
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on August 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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