Active NPI
Alyssa Goodman, LMSW/LGSW
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1437895612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25027
- Practice address
- 9 Southfield PL
Baltimore, MD 21212-3816 - Phone
- (301) 458-0501
- NPI assigned
- May 10, 2022
- Last updated
- Oct 12, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LG50083170 | DC | |
| Clinical Social Worker | 1041C0700X | 25027 | MD | Primary |
Addresses
Primary practice location
9 Southfield PL
Baltimore, MD 21212-3816
Mailing address
9 Southfield PL
Baltimore, MD 21212-3816
Phone (301) 458-0501
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG50083170 | DC | MD | Clinical Social Worker |
| 25027 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1437895612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SOUTHFIELD PL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123816",
"telephone_number": "301-458-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SOUTHFIELD PL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123816",
"telephone_number": "301-458-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "ALYSSA",
"credential": "LMSW/LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-10",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LG50083170",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "25027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.