Individual provider · Type 1 NPI

Ellen Goodman, LCSW

Clinical Social Worker · Rego Park, NY

NPI number 1366627747 Active

Practice location

9729 64th Rd
Rego Park, NY 11374-2240

Call (718) 896-3400 Map

Fax (718) 459-5621

Mailing address

29 2nd Ave
Port Washington, NY 11050-3126

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X024669 (NY)

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 1366627747

Ellen Goodman, LCSW's National Provider Identifier is 1366627747, issued on Jan 4, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rego Park, NY. The record was last updated on Jun 24, 2008.