Barbara Sue Goodman-Fischtrom, LICSW,LMFT,LADC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2270 Issued in MN

Practice address

11812 Wayzata Blvd
Suite # 120
Minnetonka, MN 55305-2012

Phone

(952) 288-5335

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1205934676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11812 WAYZATA BLVD",
            "address_2": "SUITE # 120",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052012",
            "telephone_number": "952-288-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11812 WAYZATA BLVD",
            "address_2": "SUITE # 120",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052012",
            "telephone_number": "952-288-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN-FISCHTROM",
        "first_name": "BARBARA",
        "middle_name": "SUE",
        "credential": "LICSW,LMFT,LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "2270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090758800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goldstar Adult Day Care Center LLC.
• Lani Marie Gomez Pickard, MSW, LICSW
• John Chester Gonsiorek, PH.D.
• Mayda Caridad Gonzalez, APRN
• Roy Howard Good, CRNA
• Kinsey Goodman, NP
• Gopher (Minnetonka) TRS LLC
• Safiya A Gordon, A.R.N.P.
• Nicole Gorvin, ATR
• Roxanne Gosnell, AGNP

• Social Worker in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.