Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gayle D Goldblatt, LCSW

Individual provider Clinical Social Worker · NPI 1912923848

Gayle D Goldblatt, LCSW is a Clinical Social Worker in Coos Bay, Oregon. Qualified in 1980, 46 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
46
Licensed in
OR
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1957 Thompson Rd
Coos Bay, OR 97420-2040
Phone: (541) 266-8575
Fax: (541) 269-7656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L3121 (OR)

Record details

NPI number1912923848
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 14, 2006
Last updated in NPPESAugust 1, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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