Lisa M. Goodwin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 22609 Issued in CA

Practice address

1126 N Grand Ave
Suite D
Covina, CA 91724-1551

Phone

(626) 967-1667

Fax

(626) 967-6027

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Masonic Homes of California

  • Community/Behavioral Health Agency
  • Union City, CA
  • NPI 1114111317
  Medicare reassignment NPD
• Masonic Homes of California

  dba Masonic Homes of California - Covina

  • Community/Behavioral Health Agency
  • Covina, CA
  • NPI 1295388106
  NPD
• Masonic Homes of California

  dba Citrus Heights Health Center

  • Skilled Nursing Facility
  • Covina, CA
  • NPI 1639726102
  NPD
• Masonic Homes of California

  • Nursing Facility/Intermediate Care Facility
  • Union City, CA
  • NPI 1043426588
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457490617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 BUCKHAVEN RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094363",
            "telephone_number": "909-896-2971",
            "fax_number": "626-967-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N GRAND AVE",
            "address_2": "SUITE D",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241551",
            "telephone_number": "626-967-1667",
            "fax_number": "626-967-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "LISA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 22609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon Gonzalez
• Roberto A Gonzalez
• Thelma Gonzalez
• Veronica Gonzalez, D.D.S.
• Good Works LLC (Right at Home)
• Zeric Kalin Goodwin
• Gabriel Gordillo
• Elhom Gordon
• Jeenie NMN Gordon, L.M.F.T.
• Lupe Manuela Gordon

• Clinical Social Worker in Covina, CA
• Providers in Covina, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.