Amy Goldberg, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Va Beach, Virginia. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Medical Psychology Center, Llc and her current practice location is
4445 Corporation Ln, Va Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 205-1527.
Amy Goldberg is licensed to practice in Virginia (license number 0904013233) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922130087.
Healthcare Provider's Profile
| Full Name | Amy Goldberg |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 29 Years |
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| Location | 4445 Corporation Ln, Va Beach, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy Goldberg graduated from medical school in 1995
NPI Data:
- NPI Number: 1922130087
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 04/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890927842
- Enrollment ID: I20140407001170
Medical Identifiers
Medical identifiers for Amy Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922130087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 0904013233 (Virginia) | Primary |
| 1041C0700X | Social Worker - Clinical | 1029325 (Massachusetts) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Medical Psychology Center, Llc | 1456455369 | 9 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Goldberg allows following entities to bill medicare on her behalf.
| Entity Name | Medical Psychology Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104927003
PECOS PAC ID: 1456455369
Enrollment ID: O20070403000282 |
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| Entity Name | Northeast Behavioral Health Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154302586
PECOS PAC ID: 0446155808
Enrollment ID: O20100817000286 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Goldberg is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Amy Goldberg, LICSW
4445 Corporation Ln Ste 264,
Va Beach, VA 23462-3671
Ph: (804) 460-9670 | Amy Goldberg, LICSW
4445 Corporation Ln,
Va Beach, VA 23462-3262
Ph: (434) 205-1527 |
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