Kimberly D. Goodrich, LCSW L.L.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05340000 Issued in NJ

Legal business name

KIMBERLY D. GOODRICH, LCSW L.L.C.

Practice address

134 W End Ave
2ND Floor
Somerville, NJ 08876-1816

Phone

(908) 334-0261

NPI assigned

Aug 3, 2011

Organization subpart

No

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

Authorized official

Name

Kimberly D. Goodrich, LCSW, LCADC

Title

Owner

Phone

(908) 334-0261

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1740568013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WHITEHEAD RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W END AVE",
            "address_2": "2ND FLOOR",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761816",
            "telephone_number": "908-334-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY D. GOODRICH, LCSW L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-334-0261",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00144300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05340000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vimi Khattar, M.D.
• Kim and Kim DDS LLC
• Henry Kim, MD
• Kevin HS Kim, PHARMD
• Min H Kim, D.D.S
• Amanda Katelynn Kix, ED.S.
• Samantha A Knieser, AGACNP-BC
• Kelly Koeller, LCSW
• Caitlin Kondroski
• Pamela B Kopelove, MD

• Clinical Social Worker in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.