Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093217580 Individual Practitioner Female Practitioner

Stacey Goldberg , MS, CCC-SLP

Speech-Language Pathologist • Manassas, VA

Professional Overview & Biography Verified Profile Summary

Stacey Goldberg, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Manassas, VA. Practice services are available at 14715 BRISTOW RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14715 Bristow Rd

Manassas, VA 201123945

Telephone 5712484930

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Manassas, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
116 Specialists

Practicing in Manassas, VA (4974 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202004389

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lisa Weathers , MS, CCC

Speech-Language Pathologist

NPI 1013418607

Master of Science, Certificate of Clinical Competence

Nita Putnam , CCC-SLP

Speech-Language Pathologist

NPI 1013418904

Speech-Language Pathologist (Certificate of Clinical Competence)

Cynthia Carmina , OTR, L

Occupational Therapist

NPI 1013424183

Occupational Therapist Registered, L

Desirea Moore-Mitchell

Speech-Language Pathologist

NPI 1013565092
Grace Tovar , OTR, L

Occupational Therapist

NPI 1053946772

Occupational Therapist Registered, L

Alison Savannah , CCC-SLP

Speech-Language Pathologist

NPI 1083076483

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2018

Registered at 14715 BRISTOW RD, MANASSAS, VA 201123945 (Tel: 5712484930)

📍
Updated Business Mailing Address March 01, 2018

Registered at 14715 BRISTOW RD, MANASSAS, VA 201123945 (Tel: 5712484930)

👤
Provider Name / Credentials Updated March 01, 2018

Recorded as STACEY GOLDBERG, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2018

Speech-Language Pathologist (License #2202004389 in VA)

🟢
Initial NPI Registration & Enumeration March 01, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093217580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2018
Last Update: March 01, 2018
Sole Proprietor: Yes

Mailing Address

14715 Bristow Rd

Manassas, VA 201123945

Phone: 5712484930

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.