Provider Demographics
NPI:1548382187
Name:GOLDFIELD, JOSEPH ALAN (MSW)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ALAN
Last Name:GOLDFIELD
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 E 56TH ST
Mailing Address - Street 2:APT 14B
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-379-8380
Mailing Address - Fax:212-379-8307
Practice Address - Street 1:352 7TH AVE
Practice Address - Street 2:OFFICE #1215
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-379-8380
Practice Address - Fax:212-379-8307
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCSWR050656104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker