Julie Rachel Goodman, LICSW, SUDP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LW60833004 Issued in WA

Practice address

33505 13TH PL S Ste C
Federal Way, WA 98003-6337

Phone

(253) 246-2433

Fax

(253) 838-1433

NPI assigned

Oct 9, 2014

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Catholic Community Services of Western Washington

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1790180214
  NPD (past)

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1144624800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 2ND AVE",
            "address_2": "SUITE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011155",
            "telephone_number": "206-956-9570",
            "fax_number": "206-448-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33505 13TH PL S STE C",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036337",
            "telephone_number": "253-246-2433",
            "fax_number": "253-838-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 W Smith St",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980324317",
            "country_code": "US",
            "telephone_number": "206-503-0113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JULIE",
        "middle_name": "RACHEL",
        "credential": "LICSW, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61082751",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60833004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.