Marlene Gombins Goodfriend, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0426731 Issued in NY

Practice address

336 East 86TH St
Suite 8E
New York, NY 10028-4617

Phone

(212) 472-9098

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568587392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 EAST 86TH STREET",
            "address_2": "#8E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284617",
            "telephone_number": "212-472-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 EAST 86TH ST",
            "address_2": "SUITE 8E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284617",
            "telephone_number": "212-472-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODFRIEND",
        "first_name": "MARLENE",
        "middle_name": "GOMBINS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0426731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02113537",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASAC",
            "identifier": "6065",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Michelle Goodenough, MS ED
• Samantha Scala Goodenough, OD
• Joshua Corey Goodfarb, PA-C
• Justin Goodfarb, MD
• Julie Goodfriend, MD
• Goodhart Physical Therapy PC
• Caroline Goodhines
• Carver Lowell Harris Goodhue, MD
• Dania Goodin, MD
• Kristin Goodkin, PA-C

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.