Individual provider · Type 1 NPI

Kenneth Jay Goodman, L.C.S.W.

Clinical Social Worker · Northridge, CA

NPI number 1598735037 Active

Practice location

18546 Roscoe Blvd, Suite 210
Northridge, CA 91324-4663

Mailing address

18546 Roscoe Blvd., Suite 210
Northridge, CA 91324

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS15866 (CA)

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 1598735037

Kenneth Jay Goodman, L.C.S.W.'s National Provider Identifier is 1598735037, issued on Jan 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northridge, CA. The record was last updated on Jul 13, 2026.