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Search › Connecticut › 101YA0400X

Jordan Goldberg, LADC

NPI 1235720665 · on the registry since 2021

Practice

Address
153 Hazard Ave
Enfield, CT 06082
Phone
(860) 253-5020
Fax
(860) 731-5536
Organisation at this address
Genoa Healthcare Llc
Pursuing Metamorphosis Llc
Community Health Resources, Inc
Community Health Resources, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
402

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101Y00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut