Individual provider · Type 1 NPI

Kristy Diane Goodson

Clinical Social Worker · Ammon, ID

NPI number 1194156216 Active

Practice location

1675 Curlew Dr
Ammon, ID 83406-4718

Call (208) 523-5319 Map

Mailing address

PO Box 2106
Idaho Falls, ID 83403-2106

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-38393 (ID)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194156216

Kristy Diane Goodson's National Provider Identifier is 1194156216, issued on Nov 30, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ammon, ID. The record was last updated on Aug 2, 2023.