Cheetara Goodwin
Counselor, Addiction (Substance Use Disorder) in Edgewater Park, New Jersey
1285466243- Practice location
- 27 L Wendowski St, Edgewater Park, NJ 08010-1755
- Phone
- 201-668-6898
- Fax
- —
- Last updated
- August 19, 2024
Cheetara Goodwin is a Counselor, Addiction (Substance Use Disorder) based in Edgewater Park, NJ. Cheetara Goodwin practices in Edgewater Park, NJ. The NPI Number for Cheetara Goodwin is 1285466243 and holds a License No. 37LC00337300 (NJ). The current practice location address for Cheetara Goodwin is 27 L Wendowski St, Edgewater Park, NJ 08010-1755 and can be reached out via phone at 201-668-6898.
Provider Profile Details
- NPI Number
- 1285466243
- Provider Name
- Cheetara Goodwin
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 27 L Wendowski St, Edgewater Park, NJ 08010-1755
- Phone Number
- 201-668-6898
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 19, 2024
- Last Update Date
- August 19, 2024
- Certification Date
- August 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 27 L Wendowski St
Edgewater Park, NJ 08010-1755 - City
- Edgewater Park
- State
- New Jersey
- Zip
- 08010-1755
- Phone Number
- 201-668-6898
Provider Business Mailing Address Details
- Address
- 27 L Wendowski St
Edgewater Park, NJ 08010-1755 - City
- Edgewater Park
- State
- NJ
- Zip
- 08010-1755
- Phone Number
- 201-668-6898
License Information
- License Number
- 37LC00337300
- License State
- NJ
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Cheetara Goodwin?
The NPI number of Cheetara Goodwin is 1285466243. It was assigned on August 19, 2024 and is currently active in the NPPES registry.
What is the specialty of Cheetara Goodwin?
Cheetara Goodwin is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00337300.
Where does Cheetara Goodwin practice?
The practice location is 27 L Wendowski St, Edgewater Park, NJ 08010-1755. The office can be reached at 201-668-6898 (phone).
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 1285466243 directly on the NPPES registry website.