Lynnette Joy Goodman, LCSW
Individual provider Active NPI Clinical Social Worker · Fair Lawn, NJ
NPI 1063573293 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063573293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC00604300 (NJ)
- Practice address
- 33-11 Broadway
Suite 206
Fair Lawn, NJ 07410-4634 - Phone
- (973) 772-4738
- Fax
- (973) 772-7965
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00604300 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of North Jersey, Inc. | Past | Accepting new patients | |
| Jewish Family & Children'S Services of Northern New Jersey, Inc. | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00604300 | NJ | Yes |
Addresses
Primary practice location
33-11 Broadway
Suite 206
Fair Lawn, NJ 07410-4634
Mailing address
122 Wessington Ave
Garfield, NJ 07026-3208
Phone (973) 772-4738
Other providers in Fair Lawn, NJ
- William Bernard Goldsmith
- Arrio Gont
- Roman Gont
- Jonathan Orio Gonzaga
- William Jeffrey Gonzalez
- Leah Gooen
- Brooke Goonetilleke-Alvarado
- Edlira Gora
- Jill Gordley
- Julia Gordon
All providers in Fair Lawn, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.