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

Mr. Jeremiah Goldberg, LCSW

Individual provider Clinical Social Worker · NPI 1679905889

Mr. Jeremiah Goldberg, LCSW is a Clinical Social Worker in Kirtland AFB, New Mexico. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013
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

2050A 2nd St SE
Kirtland AFB, NM 87117-5003
Phone: (505) 846-3200
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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 CW018748 (PA)

Record details

NPI number1679905889
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 30, 2013
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021

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