Active NPI
Katie Lynn Goodman, LMSW
- Social Worker
- Troy, MO
National Provider Identifier
1932990033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2023017842
- Practice address
- 91 Troy SQ
Troy, MO 63379-3108 - Phone
- (844) 853-8937
- Fax
- (660) 885-3690
- NPI assigned
- May 16, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2023017842 | MO | Primary |
Addresses
Primary practice location
91 Troy SQ
Troy, MO 63379-3108
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (844) 853-8937
Other practice location 1
1750 S Brentwood Blvd Ste 205
Saint Louis, MO 63144-1315
Phone (314) 881-0350
Other practice location 2
8150 Wornall Rd
Kansas City, MO 64114-5806
Phone (816) 508-3500
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 |
|---|---|---|---|
| 2023017842 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstones of Care | Social Worker | Past | Accepting new patients |
| Gillis Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Kansas City, MO
- NPI 1720447212
Social Worker
-
- Mental Illness Community Based Residential Treatment Facility
- Kansas City, MO
- NPI 1881664365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1932990033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "844-853-8937",
"fax_number": "660-885-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 TROY SQ",
"city": "TROY",
"state": "MO",
"postal_code": "633793108",
"telephone_number": "844-853-8937",
"fax_number": "660-885-3690"
}
],
"practiceLocations": [
{
"address_1": "1750 S Brentwood Blvd Ste 205",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631441315",
"country_code": "US",
"telephone_number": "314-881-0350",
"fax_number": "816-508-3535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8150 Wornall Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641145806",
"country_code": "US",
"telephone_number": "816-508-3500",
"fax_number": "816-508-3535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODMAN",
"first_name": "KATIE",
"middle_name": "LYNN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-16",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2023017842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.