Active NPI
Margaret Y. Goodman, LMSW
- Clinical Social Worker
- Saint James, NY
National Provider Identifier
1356573737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 082643
- Practice address
- 564 Moriches Rd
Saint James, NY 11780-1367 - Phone
- (516) 380-9273
- Fax
- (866) 662-5671
- NPI assigned
- Aug 18, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 082643 | NY | Primary |
Addresses
Primary practice location
564 Moriches Rd
Saint James, NY 11780-1367
Mailing address
564 Moriches Rd
Saint James, NY 11780-1367
Phone (516) 380-9273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00659412 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150318001086 | NY | Practitioner - Clinical Social Worker | 6608193354 |
Reassigns benefits to 1 organization Practice locations: Saint James, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Service League Inc
Practice addresses (Care Compare)
790 Park Ave
Huntington, NY 11743-4516
Phone (631) 427-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082643 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service League, Inc. | Current | Accepting new patients |
Locations
790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700
Organizations & group practices 1
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": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442620800000",
"number": "1356573737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 MORICHES RD",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "117801367",
"telephone_number": "516-380-9273",
"fax_number": "866-662-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 MORICHES RD",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "117801367",
"telephone_number": "516-380-9273",
"fax_number": "866-662-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "MARGARET",
"middle_name": "Y.",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2015-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "082643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00659412",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint James, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2015; 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.