Julian Goodwin

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

SWB-2023-0647 Issued in NM

Practice address

5401 Glenrio Rd NW
Albuquerque, NM 87105-1273

Phone

(505) 831-0400

NPI assigned

Aug 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1043930381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25704",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871250704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 GLENRIO RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051273",
            "telephone_number": "505-831-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "JULIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "SWB-2023-0647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "j.goodwincr@cbhnow.com",
            "affiliation": "N",
            "address_1": "105 Bertha Rd Ste B",
            "city": "Taos",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875717148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Ian Goodstein, D.O
• Goodwill Industries of N.M.
• Boyd Harrison Goodwin, M.D.
• Caitlin Goodwin
• Halima Josina Goodwin, DNP, CPNP-PC, PMHNP
• Tre Goodwin
• Rachel Lauren Goodwyn, ACNPC-AG
• Hailey Goold, ATC
• Krystal Goolsby
• Taylor Goot, M.D.

• School Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.