Provider Demographics
NPI:1861623803
Name:GOLDART, SUSAN (DSW; LCSW)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:GOLDART
Suffix:
Gender:F
Credentials:DSW; LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GOLDSBORO CT
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6311
Mailing Address - Country:US
Mailing Address - Phone:301-320-6989
Mailing Address - Fax:301-320-4926
Practice Address - Street 1:3 GOLDSBORO CT
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-6311
Practice Address - Country:US
Practice Address - Phone:301-320-6989
Practice Address - Fax:301-320-4926
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD070281041C0700X
DCLC3023811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical