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

Marjorie Provost Goldbaum, LICSWLADC

Individual provider Clinical Social Worker · NPI 1407869704

Marjorie Provost Goldbaum, LICSWLADC is a Clinical Social Worker in Chelmsford, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

201 Chelmsford St
Chelmsford, MA 01824-2359
Phone: (978) 256-1467
Fax: (978) 256-7465
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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 110711 (MA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1530 (MA)

Record details

NPI number1407869704
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSWLADC
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESFebruary 2, 2016

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