Active NPIIndividual providerSole proprietor

Ms. Lisa D Goodman, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1417139783
Practice location
543 Valley RD, Suite 9, Montclair, NJ 07043-1881
Fax
—
Last updated
July 2, 2015

Lisa D. Goodman is a Social Worker, Clinical based in Montclair, NJ. Lisa D. Goodman practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Lisa D. Goodman is 1417139783 and holds a License No. 44SC05552900 (NJ). The current practice location address for Lisa D. Goodman is 543 Valley RD, Suite 9, Montclair, NJ 07043-1881 and can be reached out via phone at 917-817-1906.

Provider Profile Details

NPI Number
1417139783
Provider Name
Lisa D. Goodman
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
543 Valley RD, Suite 9, Montclair, NJ 07043-1881
Phone Number
917-817-1906
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 28, 2007
Last Update Date
July 2, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
543 Valley RD
Suite 9
Montclair, NJ 07043-1881
Zip
07043-1881
Phone Number
917-817-1906
Montclair, NJ 07043Get directions →

Provider Business Mailing Address Details

Address
437 Park St
Montclair, NJ 07043-1924
City
Montclair
State
NJ
Zip
07043-1924
Phone Number
917-817-1906

License Information

License Number
44SC05552900
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 Ms. Lisa D Goodman, LCSW?

The NPI number of Ms. Lisa D Goodman, LCSW is 1417139783. It was assigned on November 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Lisa D Goodman, LCSW?

Ms. Lisa D Goodman, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05552900.

Where does Ms. Lisa D Goodman, LCSW practice?

The practice location is 543 Valley RD, Suite 9, Montclair, NJ 07043-1881. The office can be reached at 917-817-1906 (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 1417139783 directly on the NPPES registry website.

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