City of Mercer Island

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CITY OF MERCER ISLAND

Practice address

2040 84TH Ave SE
Mercer Island, WA 98040

Phone

(206) 236-3525

Fax

(206) 236-3632

NPI assigned

Mar 15, 2007

Organization subpart

No

Name

Ms. Cynthia Corey Goodwin, MSW

Title

Executive Director

Phone

(206) 236-3535

Locations

• Mercer Island Youth and Family Services MIYFS Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639203243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 84TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "98040",
            "telephone_number": "206-236-3525",
            "fax_number": "206-236-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 84TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "98040",
            "telephone_number": "206-236-3525",
            "fax_number": "206-236-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MERCER ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-236-3535",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer Island Youth and Family Services MIYFS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jason CHI, DPT
• Children'S Institute for Learning Differences
• Jamie Samra Cho
• Nakyung Choe, ARNP
• Samuel Chong, DDS
• City of Mercer Island
• Erica Lynne Clark, PHYSICAL THERAPIST
• Tumaini Rucker Coker, M.D.
• Paul Dewitt Conrad, M.D.
• Cormedical, Inc.

• All providers in Mercer Island, WA
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.