Kaitlyn Goubeau, LICSW, DSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61055538 Issued in WA

Practice address

3710 168TH St NE Ste A207
Arlington, WA 98223-8464

Phone

(425) 346-0251

NPI assigned

Dec 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Justice Social Work, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington, WA
  • NPI 1003499195

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1184045858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 188TH ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238706",
            "telephone_number": "360-218-4645",
            "fax_number": "360-218-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 168TH ST NE STE A207",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238464",
            "telephone_number": "425-346-0251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Rockefeller Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011682",
            "country_code": "US",
            "telephone_number": "425-261-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2802 Broadway",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982013642",
            "country_code": "US",
            "telephone_number": "425-259-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "848 N Sunrise Blvd Ste A204",
            "address_purpose": "LOCATION",
            "city": "Camano Island",
            "state": "WA",
            "postal_code": "982828770",
            "country_code": "US",
            "telephone_number": "360-218-4645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUBEAU",
        "first_name": "KAITLYN",
        "name_prefix": "Dr.",
        "credential": "LICSW, DSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60646397",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61055538",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60646397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alanna Edith Goodman, M.D.
• Sara C'Erveny Goodrum
• Jay Francis Goodwin, D.C.
• Hima Gorantla
• Sarah L Gordon
• Jesenia K Graafstra
• Kayla E Graham
• David Melvin Gran, MD
• Theresa Anne Granger, ARNP
• Kristin Ruth Grant, M.D.

• Clinical Social Worker in Arlington, WA
• Providers in Arlington, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.