Ashley Ryan Goodwin, LCSW

Individual provider Active NPI Clinical Social Worker · Lafayette, CO

NPI 1497095640 · NPPES record last updated Oct 16, 2024

Key facts

NPI
1497095640
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CSW.09930559 (CO)
Practice address
400 E Simpson St Ste 108
Lafayette, CO 80026-2359
Phone
(720) 617-2386
NPI assigned
Feb 26, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CSW.09930559COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tribe Wellness, LLC Clinical Past Accepting new patients
Tribe Wellness, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09930559 CO Yes

Addresses

Primary practice location

400 E Simpson St Ste 108
Lafayette, CO 80026-2359

Mailing address

2270 Arapahoe Rd
Suite 132 #115
Lafayette, CO 80026-8016
Phone (626) 770-4511

Other practice location 1

2191 W 64th Ave
Suite 110
Arvada, CO 80004
Phone (303) 351-2364

Other providers in Lafayette, CO

All providers in Lafayette, CO · Clinical Social Worker in Colorado

Sources for this page

Verify at the official NPI Registry.