Active NPI
Josephine Cecilia Beckley Goodman, MSW
- Clinical Social Worker
- Seattle, WA
National Provider Identifier
1447414719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00007457
- Practice address
- 4033 E Madison St
Suite 100
Seattle, WA 98112-3104 - Phone
- (206) 322-7118
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | LW00007457 | WA | |
| Clinical Social Worker | 1041C0700X | LW00007457 | WA | Primary |
Addresses
Primary practice location
4033 E Madison St
Suite 100
Seattle, WA 98112-3104
Mailing address
4033 E Madison St Ste 204
Seattle, WA 98112-3104
Phone (206) 322-7118
Other names 1
- Joanna Beckley Beckley-Goodman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 19, 2020 through Oct 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00007457 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1447414719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4033 E MADISON ST STE 204",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981123104",
"telephone_number": "206-322-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 E MADISON ST",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981123104",
"telephone_number": "206-322-7118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "JOSEPHINE",
"middle_name": "CECILIA BECKLEY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00007457",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00007457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "BECKLEY-GOODMAN",
"middle_name": "BECKLEY",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.