Active NPI
Karen Goodman, L.C.S.W.
- Clinical Social Worker
- Miami, FL
National Provider Identifier
1114353794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW1649
- Practice address
- 9150 SW 87TH Ave
Suite 202
Miami, FL 33176-2319 - Phone
- (305) 595-5369
- NPI assigned
- Sep 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW1649 | FL | Primary |
Addresses
Primary practice location
9150 SW 87TH Ave
Suite 202
Miami, FL 33176-2319
Mailing address
9150 SW 87TH Ave
Suite 202
Miami, FL 33176-2319
Phone (305) 595-5369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW1649 | Other | FL | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW1649 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1114353794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 SW 87TH AVE",
"address_2": "SUITE 202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762319",
"telephone_number": "305-595-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 SW 87TH AVE",
"address_2": "SUITE 202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762319",
"telephone_number": "305-595-5369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "KAREN",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW1649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "SW1649",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.