Individual provider · Type 1 NPI

Peter Bertram Goodman, LCSW, MSW

Clinical Social Worker · Raleigh, NC

NPI number 1962653444 Active

Practice location

Dorothea Dix Hospital, 3601 Mail Service Center
Raleigh, NC 27699-0001

Call (919) 733-6355 Map

Fax (919) 715-8043

Mailing address

4316 Bradford Ridge Rd
Efland, NC 27243-9467

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC000697 (NC)

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 1962653444

Peter Bertram Goodman, LCSW, MSW's National Provider Identifier is 1962653444, issued on Oct 2, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Oct 2, 2008.