Individual provider · Type 1 NPI
Miriam Elana Iken Goodman
Clinical Social Worker · Braintree, MA
Practice location
150 Grossman Dr Ste 404
Braintree, MA 02184-4952
Mailing address
8 Cottage Rd
Wayland, MA 01778-4406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 134364 (PA) |
| Clinical Social Worker Primary | 1041C0700X | 122382 (MA) |
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 1609390830
Miriam Elana Iken Goodman's National Provider Identifier is 1609390830, issued on Jul 30, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Braintree, MA. The record was last updated on Dec 18, 2020.