Kimberly Dawn Goodrich, MSW, LCSW, LCADC
Individual provider Active NPI Clinical Social Worker · Clinton, NJ
NPI 1831218528 · NPPES record last updated Jun 13, 2021
Key facts
- NPI
- 1831218528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05340000 (NJ)
- Practice address
- 12 Lower Center St Ste 12
Clinton, NJ 08809-1423 - Phone
- (732) 455-1623
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00144300 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05340000 | NJ | Yes |
Addresses
Primary practice location
12 Lower Center St Ste 12
Clinton, NJ 08809-1423
Mailing address
1901 Doolittle Dr
Bridgewater, NJ 08807-7032
Phone (908) 334-0261
Other practice location 1
3322 Route 22 Ste 410
Branchburg, NJ 08876-3394
Phone (908) 334-0261
Other names
- Kimberly Dawn Heinzer
Other providers in Clinton, NJ
- Whitney Garlick
- Amanda Gaspar
- Karen Geller
- John Giordano
- Amy Elizabeth Glaser
- Glenn B Graham
- Grayrockrx LLC
- Nancy R Grospe
- Lori Rayner Grossi
- Gwen Blake Counseling, LLC
All providers in Clinton, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.