Active NPI
Lauren Goodman, MSW, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1811222128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW64235
- Practice address
- 3250 Wilshire Blvd
Los Angeles, CA 90010-1577 - Phone
- (213) 637-5000
- Fax
- (213) 637-5001
- NPI assigned
- Oct 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 28478 | CA | |
| Mental Health Counselor | 101YM0800X | ASW 28478 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW64235 | CA | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
3250 Wilshire Blvd
Los Angeles, CA 90010-1577
Mailing address
3580 Wilshire Blvd
Floor 8
Los Angeles, CA 90010-2501
Phone (213) 637-5000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 28478 | CA | MD | Mental Health Counselor |
| LCSW64235 | CA | MD | Clinical Social Worker |
| 28478 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1811222128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 WILSHIRE BLVD",
"address_2": "FLOOR 8",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102501",
"telephone_number": "213-637-5000",
"fax_number": "213-637-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101577",
"telephone_number": "213-637-5000",
"fax_number": "213-637-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "28478",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW 28478",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW64235",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.