Provider Demographics
NPI:1306732227
Name:GOLDENBERG, RACHELLE PAVAO (LCSW)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:PAVAO
Last Name:GOLDENBERG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1444
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-7444
Mailing Address - Country:US
Mailing Address - Phone:866-866-1904
Mailing Address - Fax:
Practice Address - Street 1:2956 VELVET WAY
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-6438
Practice Address - Country:US
Practice Address - Phone:925-681-8449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1304191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical