Active NPIIndividual providerSole proprietor

Lynnette J Goodman, LCSW

Social Worker, Clinical in Fair Lawn, New Jersey

NPI Number1063573293
Practice location
33-11 Broadway, Suite 206, Fair Lawn, NJ 07410-4634
Fax
973-772-7965
Last updated
July 8, 2007

Lynnette Joy Goodman is a Social Worker, Clinical based in Fair Lawn, NJ. Lynnette Joy Goodman practices in Fair Lawn, NJ and has the professional credentials of LCSW. The NPI Number for Lynnette Joy Goodman is 1063573293 and holds a License No. 44SC00604300 (NJ). The current practice location address for Lynnette Joy Goodman is 33-11 Broadway, Suite 206, Fair Lawn, NJ 07410-4634 and can be reached out via phone at 973-772-4738 and via fax at 973-772-7965.

Provider Profile Details

NPI Number
1063573293
Provider Name
Lynnette Joy Goodman
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
33-11 Broadway, Suite 206, Fair Lawn, NJ 07410-4634
Phone Number
973-772-4738
Fax Number
973-772-7965
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 12, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
33-11 Broadway
Suite 206
Fair Lawn, NJ 07410-4634
Zip
07410-4634
Phone Number
973-772-4738
Fax Number
973-772-7965
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
122 Wessington Ave
Garfield, NJ 07026-3208
City
Garfield
State
NJ
Zip
07026-3208
Phone Number
973-772-4738
Fax Number
973-772-7965

License Information

License Number
44SC00604300
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lynnette J Goodman, LCSW?

The NPI number of Lynnette J Goodman, LCSW is 1063573293. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Lynnette J Goodman, LCSW?

Lynnette J Goodman, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC00604300.

Where does Lynnette J Goodman, LCSW practice?

The practice location is 33-11 Broadway, Suite 206, Fair Lawn, NJ 07410-4634. The office can be reached at 973-772-4738 (phone) or 973-772-7965 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063573293 directly on the NPPES registry website.

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