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

Jeremy Adam Goldberg, LICSW

Individual provider Clinical Social Worker · NPI 1013243708

Jeremy Adam Goldberg, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

410 Church St SE
Minneapolis, MN 55455-0222
Phone: (612) 624-1444
Fax: (612) 677-3211
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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 18523 (MN)

Record details

NPI number1013243708
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 30, 2009
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

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