Miriam Elana Iken Goodman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122382 Issued in MA

Practice address

150 Grossman Dr Ste 404
Braintree, MA 02184-4952

Phone

(508) 740-6486

NPI assigned

Jul 30, 2017

Last updated

Dec 18, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 15, 2025 through Oct 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1609390830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 COTTAGE RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784406",
            "telephone_number": "508-740-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GROSSMAN DR STE 404",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021844952",
            "telephone_number": "508-740-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MIRIAM",
        "middle_name": "ELANA IKEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-30",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "134364",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charline Marie Gomez
• Eva Geanette Gonzalez Carey
• Gloria Gonzalez, MSW
• Elizabeth Good
• Hilary Gooding, M.ED, BCBA, LABA
• Vanessa Rita Goodman, LICSW
• Rosemary Goodrow, MSPT
• Alyssa Mary Goodwin, OTR
• Rachel Gostkowski
• Hannah Graham

• Clinical Social Worker in Braintree, MA
• Providers in Braintree, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.