Kimberly Goodwin LCSW-S PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KIMBERLY GOODWIN LCSW-S PLLC

Practice address

12119 Cherry Blossom St
San Antonio, TX 78247-4311

Phone

(210) 857-3096

NPI assigned

Feb 25, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Sandra-Lynn Goodwin, LCSW-SNPI 1841703899

Title

Owner

Phone

(210) 857-3096

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly S Goodwin, LCSW

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1841703899
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1093309429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12119 CHERRY BLOSSOM ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474311",
            "telephone_number": "210-857-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12119 CHERRY BLOSSOM ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474311",
            "telephone_number": "210-857-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY GOODWIN LCSW-S PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SANDRA-LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-857-3096",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378227803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Youngjoon Lee Kim, DDS
• Caroline Kima
• Diane Mary Kimball, LCSW
• Tara Kimball
• Lauren Kimberling
• Kimberly P. Gallegos-Watson, PLLC
• Kimberly Voges, DDS, PA (San Antonio Aesthetic & Family Dentistry)
• Kristopher Kimbrough
• Dorothy Mukami Kimburi
• Patricia J Kimes, M.ED. CCC-SLP

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.