Laura Goodman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

093637 Issued in NY

Practice address

319 Treadwell CT
Bohemia, NY 11716-4338

Phone

(631) 742-3234

NPI assigned

Oct 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1982320396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 TREADWELL CT",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 TREADWELL CT",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164338",
            "telephone_number": "631-742-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Go Forward Psychotherapy LCSW-R PLLC
• Kristen Goldfarb
• Laura M Goldschrafe, CNM, WHNP-BC
• Leslie Gonzaga Morocho, LMSW
• Pauleena Gonzalez, RN
• Leonard Michael Grancio, MS
• Kenneth John Grau, MS CCC SLP
• Patricia Graves, TSHH
• Eileen Patricia Grippo
• Patricia Grudens, MHC-LP

• Clinical Social Worker in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.