Individual provider · Type 1 NPI

Michael B. Goodman, LCSW

Clinical Social Worker · Reston, VA

NPI number 1770787129 Active

Practice location

11250 Roger Bacon Dr, Suite 12
Reston, VA 20190-5219

Mailing address

20769 Riverbirch Pl
Potomac Falls, VA 20165-7396

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904001243 (VA)

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 1770787129

Michael B. Goodman, LCSW's National Provider Identifier is 1770787129, issued on Jun 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Reston, VA. The record was last updated on Jul 8, 2007.