Regina Goodman, L.C.S.W., LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REGINA GOODMAN, L.C.S.W., LLC

Practice address

777 N Jefferson St Ste 402
Milwaukee, WI 53202-3713

Phone

(414) 502-9245

NPI assigned

Jun 8, 2020

Organization subpart

No

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

Authorized official

Name

Regina Goodman, LCSWNPI 1184865347

Title

Sole Member

Phone

(414) 828-3634

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina Goodman, MSW, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1184865347
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1962027797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N JEFFERSON ST STE 402",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023713",
            "telephone_number": "414-502-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N JEFFERSON ST STE 402",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023713",
            "telephone_number": "414-502-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA GOODMAN, L.C.S.W., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "414-828-3634",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42184700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reflect Medical Transportation LLC
• Regal Home Health Services
• Margaret Brady Regan
• Timothy J Regan, PHARMD
• Regency Senior Services LLC
• Regional Neurology Center
• Dawn M Regner, M.D.
• Emilie Helen Regner, MD
• Kevin R. Regner, M.D.
• Lisa Marie Regner, M.S.

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.