Individual provider Active NPI

Laurence Goodman, LCSWR

  • Clinical Social Worker
  • Yorktown Heights, NY
National Provider Identifier
1306993233
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R026292 Issued in NY
Practice address
2000 Maple Hill St
Yorktown Heights, NY 10598-4176
Phone
(914) 962-5593
Fax
(914) 962-5599
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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 R026292 NY Primary

Addresses

Primary practice location

2000 Maple Hill St
Yorktown Heights, NY 10598-4176

Mailing address

2000 Maple Hill St
Yorktown Heights, NY 10598-4176
Phone (914) 962-5593

Other identifiers 2

IdentifierTypeStateIssuer
200692OtherNYHEALTHNET
140026292NY01OtherNMANTHEM

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R026292NYMDClinical Social Worker
026292NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Association of Westchester County - Social Care Network Past Accepting new patients
The Mental Health Association of Westchester County, Inc. Clinical PastSince Apr 21, 2008 Accepting new patients

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1306993233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MAPLE HILL ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984176",
            "telephone_number": "914-962-5593",
            "fax_number": "914-962-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MAPLE HILL ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984176",
            "telephone_number": "914-962-5593",
            "fax_number": "914-962-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "LAURENCE",
        "name_prefix": "Mr.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R026292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "200692",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140026292NY01",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.