Kimberly Renee Goodman, MSW, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

936 Issued in MT

Practice address

314 N Last Chance Gulch Ste 211B
Helena, MT 59601-5012

Phone

(406) 438-1324

NPI assigned

Mar 26, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly Ferguson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1043482425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SPOKANE CREEK RD",
            "city": "EAST HELENA",
            "state": "MT",
            "postal_code": "596359786",
            "telephone_number": "406-438-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N LAST CHANCE GULCH STE 211B",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015012",
            "telephone_number": "406-438-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MSW, L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043482425",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FERGUSON",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Edward Goldes, MD
• McKenzie Golz, OTD, OTR/L, BCP
• Sherri E Gomes, PT
• Sarah Ann Gonser, ACLC
• Natalie Gonzales, D.O.
• David Aurel Goodwin, MD
• Dawn Gormely, FNPC
• Olivia Moricca Gosvener, LCSW - CANDIDATE
• Goto Telemed
• Laura Gowen, LCSW

• Clinical Social Worker in Helena, MT
• Providers in Helena, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.