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

Mr. Victor James Goldman, LCSW

Individual provider Clinical Social Worker · NPI 1104866094

Mr. Victor James Goldman, LCSW is a Clinical Social Worker in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
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

1050 Hallock Ave Ste 4
Port Jefferson Station, NY 11776-1214
Phone: (631) 928-4114
Fax: (631) 476-0766
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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 LCSWR011981 (NY)

Record details

NPI number1104866094
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESJuly 13, 2026

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