Provider Demographics
NPI:1861697286
Name:GELBERG-GOFF, LOREN M (LCSW)
Entity type:Individual
Prefix:MS
First Name:LOREN
Middle Name:M
Last Name:GELBERG-GOFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-1028
Mailing Address - Country:US
Mailing Address - Phone:201-489-6720
Mailing Address - Fax:201-489-2416
Practice Address - Street 1:200 OAK AVE
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-1028
Practice Address - Country:US
Practice Address - Phone:201-489-6720
Practice Address - Fax:201-489-2416
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-16
Last Update Date:2012-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC 058951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical