Kenneth Jay Goodman in Northridge - Clinical
Kenneth Jay Goodman - NPI 1598735037
Kenneth Jay Goodman is a Clinical in Northridge, California. Kenneth Jay Goodman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Jay Goodman is 1598735037. The last update date is 2007-07-08.
Kenneth Jay Goodman's current location address is 18546 Roscoe Blvd., Northridge, California. You can contact this provider via phone number 8185427925. The mailing address for Kenneth Jay Goodman is 18546 Roscoe Blvd., Northridge, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Jay Goodman |
|---|---|
| Address | 18546 Roscoe Blvd., Northridge, California |
| Phone Number | 8185427925 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1598735037 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18546 Roscoe Blvd. |
|---|---|
| City | Northridge |
| State | California (CA) |
| Post Code | 91324 |
| Phone Number | 8185427925 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS15866 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth Jay Goodman?
The Kenneth Jay Goodman has been issued the NPI (National Provider Identifier) 1598735037 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kenneth Jay Goodman's physical address?
The Kenneth Jay Goodman is physically located at 18546 Roscoe Blvd., in the city of Northridge, CA, with the postal code 91324.
What is Kenneth Jay Goodman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth Jay Goodman is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did Kenneth Jay Goodman receive its 1598735037 assignment?
The Kenneth Jay Goodman was assigned its 1598735037 on 2006-01-26, which is the date when this unique identifier was issued to the organization.
When was the Kenneth Jay Goodman's information last updated?
The Kenneth Jay Goodman's information was last updated on 2007-07-08.