Lisa D. Goodman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05552900 Issued in NJ

Practice address

543 Valley Rd
Suite 9
Montclair, NJ 07043-1881

Phone

(917) 817-1906

NPI assigned

Nov 28, 2007

Last updated

Jul 2, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1417139783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431924",
            "telephone_number": "917-817-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 VALLEY RD",
            "address_2": "SUITE 9",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431881",
            "telephone_number": "917-817-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "LISA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05552900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Morris Goldstein, M.D.
• Samantha Rae Goman, PA-C
• Darren Gonzalez
• Jonathan Gonzalez, PHARMD
• Hari Goo
• Suzanne Goodman, MSPT
• Gissell Goodridge, LPC, NCC, CCTP
• Katalin Gordon, LAC
• Marvin Gorsky
• Gotcha Nutrition & Wellness LLC

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.