Active NPI
Dana Ashlyn Goodwin, LMSW
- Clinical Social Worker
- Independence, MO
National Provider Identifier
1992347124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2022048431
- Practice address
- 17886 E 23Rd St S
Independence, MO 64057-1840 - Phone
- (816) 254-3654
- NPI assigned
- Oct 9, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2022048431 | MO | Primary |
| Mental Health Counselor | 101YM0800X | M10246 | OR | |
| Clinical Social Worker | 1041C0700X | 12923 | KS |
Addresses
Primary practice location
17886 E 23Rd St S
Independence, MO 64057-1840
Mailing address
PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5214
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 |
|---|---|---|---|
| M10246 | OR | MD | Mental Health Counselor |
| 12923 | KS | MD | Clinical Social Worker |
| 2022048431 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Development, Inc. | Past | Accepting new patients | |
| Center for Family Development, Inc. | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/c-f-d/r4/
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 Health Counselor
- Eugene, OR
- NPI 1265609184
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Eugene, OR
- NPI 1538150388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1992347124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844715",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641844715",
"telephone_number": "417-761-5214",
"fax_number": "417-761-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17886 E 23RD ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640571840",
"telephone_number": "816-254-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "DANA",
"middle_name": "ASHLYN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2022048431",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "M10246",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "12923",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.