Kimberly Dawn Goodrich, MSW, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05340000 Issued in NJ

Practice address

12 Lower Center St Ste 12
Clinton, NJ 08809-1423

Phone

(732) 455-1623

NPI assigned

Mar 27, 2007

Last updated

Jun 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Dawn Heinzer Former name

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

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimberly D. Goodrich, LCSW L.L.C.

  • Clinical Social Worker
  • Somerville, NJ
  • NPI 1740568013
  Authorized official Same address or phone

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1831218528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DOOLITTLE DR",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088077032",
            "telephone_number": "908-334-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LOWER CENTER ST STE 12",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091423",
            "telephone_number": "732-455-1623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3322 Route 22 Ste 410",
            "address_purpose": "LOCATION",
            "city": "Branchburg",
            "state": "NJ",
            "postal_code": "088763394",
            "country_code": "US",
            "telephone_number": "908-334-0261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "MSW, LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00144300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05340000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HEINZER",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whitney Garlick, DPT
• Amanda Gaspar, PA-C
• Karen Geller, PSY.D.
• John Giordano, RPH
• Amy Elizabeth Glaser, MA, LAC
• Glenn B Graham, LPC
• Grayrockrx LLC (Grayrock Pharmacy)
• Nancy R Grospe, RPH
• Lori Rayner Grossi, ED.D.
• Gwen Blake Counseling, LLC (Birch Tree Therapeutic Arts)

• Clinical Social Worker in Clinton, NJ
• Providers in Clinton, 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 Jun 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.