Lisa D. Goodman is a Clinical in Montclair, New Jersey. Lisa D. Goodman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa D. Goodman is 1417139783. The last update date is 2015-07-02.
Lisa D. Goodman's current location address is 437 Park St, Montclair, New Jersey. You can contact this provider via phone number 9178171906. The mailing address for Lisa D. Goodman is 437 Park St, Montclair, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa D. Goodman |
|---|---|
| Address | 437 Park St, Montclair, New Jersey |
| Phone Number | 9178171906 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417139783 |
|---|---|
| Provider Enumeration Date | 2007-11-28 |
| Last Updated Date | 2015-07-02 |
Provider Mailing Address Detail
| Address | 437 Park St |
|---|---|
| City | Montclair |
| State | New Jersey (NJ) |
| Post Code | 70431924 |
| Phone Number | 9178171906 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC05552900 |
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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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What is the unique 10-digit identifier code issued to Lisa D. Goodman by the Centers for Medicare & Medicaid Services?
The Lisa D. Goodman has been assigned the NPI (National Provider Identifier) 1417139783 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lisa D. Goodman is physically located?
The Lisa D. Goodman is situated at the following address: 437 Park St, Montclair, NJ 70431924.
What is Lisa D. Goodman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa D. Goodman's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1417139783 assigned to Lisa D. Goodman?
The Lisa D. Goodman was issued its 1417139783 on 2007-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Lisa D. Goodman's information last updated?
The Lisa D. Goodman's information was last updated on 2015-07-02.
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