Active NPI
Alexander M Goodman, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1659158269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06266600
- Practice address
- 352 7TH Ave RM 306
New York, NY 10001-5075 - Phone
- (212) 337-9990
- NPI assigned
- Sep 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 120735-01 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC06266600 | NJ | Primary |
Addresses
Primary practice location
352 7TH Ave RM 306
New York, NY 10001-5075
Mailing address
28 Riverside Ave Apt 2G
Red Bank, NJ 07701-1046
Phone (917) 640-5260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06266600 | NJ | MD | Clinical Social Worker |
| 120735-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartstein Psychological, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- New York, NY
- NPI 1366991630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1659158269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 RIVERSIDE AVE APT 2G",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011046",
"telephone_number": "917-640-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 7TH AVE RM 306",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015075",
"telephone_number": "212-337-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "ALEXANDER",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-08",
"last_updated": "2024-05-08",
"certification_date": "2023-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "120735-01",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06266600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.