Active NPI
Leah Marie Goodnow, LCSW
- Clinical Social Worker
- Kennett Square, PA
National Provider Identifier
1902817208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015834
- Practice address
- 920 East Batimore Pike Suite 200
Holcomb BHS
Kennett Square, PA 19348 - Phone
- (610) 388-9225
- Fax
- (610) 388-3224
- NPI assigned
- Aug 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW124994 | PA | |
| Clinical Social Worker | 1041C0700X | CW015834 | PA | Primary |
Addresses
Primary practice location
920 East Batimore Pike Suite 200
Holcomb BHS
Kennett Square, PA 19348
Mailing address
920 East Baltimore Pike Suite 200
Holcomb BHS
Kennett Square, PA 19348
Phone (610) 388-9225
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 |
|---|---|---|---|
| SW124994 | PA | MD | Social Worker |
| CW015834 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1902817208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 EAST BALTIMORE PIKE SUITE 200",
"address_2": "HOLCOMB BHS",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "19348",
"telephone_number": "610-388-9225",
"fax_number": "610-388-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 EAST BATIMORE PIKE SUITE 200",
"address_2": "HOLCOMB BHS",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "19348",
"telephone_number": "610-388-9225",
"fax_number": "610-388-3224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODNOW",
"first_name": "LEAH",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW124994",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW015834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.