Individual provider Active NPI

Barbara G Goodman, MSSW

  • Clinical Social Worker
  • Reedsburg, WI
National Provider Identifier
1104860998
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1798 Issued in WI
Practice address
2213 E Main St
Reedsburg, WI 53959-9439
Phone
(608) 768-4545
Fax
(608) 768-4646
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1798 WI Primary

Addresses

Primary practice location

2213 E Main St
Reedsburg, WI 53959-9439

Mailing address

2213 E Main St
Reedsburg, WI 53959-9439
Phone (608) 768-4545

Other identifiers 1

IdentifierTypeStateIssuer
40950600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041230000126 WI Practitioner - Clinical Social Worker 5395703011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goodman'S Behavioral Health Clinic, LLCGroup PAC ID 8729167614, 2 clinicians

Practice addresses (Care Compare)

2213 E Main St
Reedsburg, WI 53959-9439
Phone (608) 768-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goodman'S Behavioral Health Clinic, LLC CurrentSince Mar 1, 2008 Accepting new patients

Locations

2213 E Main St
Reedsburg, WI 53959
Phone (608) 768-4545

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104860998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 E MAIN ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539599439",
            "telephone_number": "608-768-4545",
            "fax_number": "608-768-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 E MAIN ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539599439",
            "telephone_number": "608-768-4545",
            "fax_number": "608-768-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "BARBARA",
        "middle_name": "G",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40950600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

Verify at the official NPI Registry.