MICHAEL B GOODMAN (NPI# 1770787129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770787129 |
| Entity Type | Individual |
| Full Name | MICHAEL B GOODMAN |
| Credential | LCSW |
| Practice Address |
11250 Roger Bacon Dr Suite 12 Reston VA 20190-5219 |
| Mailing Address |
20769 Riverbirch Pl Potomac Falls VA 20165-7396 |
| Practice Telephone | 7035170107 |
| Mailing Telephone | 7035170107 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904001243 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892457 | Michael Joseph Goodman | Chiropractor | 1323 Newbury Rd Ste 107, Newbury Park, CA 91320-3678 | 2016-06-20 |
| 1427474923 | Michael Goodman | Specialist/Technologist | 8133 Mountain View Cir, Pasadena, MD 21122-7703 | 2014-03-10 |
| 1013344837 | Michael Dean Goodman | Counselor | 6822 Bridlewood Ct, Boca Raton, FL 33433-3566 | 2013-10-11 |
| 1659496099 | Michael E Goodman | Dentist | 468 N 5th St, Middletown, IN 47356-1004 | 2007-03-21 |
| 1821185257 | Michael M Goodman | Chiropractor | 2439 Grand Ave, Bellmore, NY 11710-3547 | 2006-10-06 |
| 1922103563 | Michael S Goodman | Dentist | 245 East 55th St, C/o Elk Dental Associates, Nyc, NY 10022 | 2006-09-14 |
| 1073626651 | Michael Goodman | Internal Medicine | 2495 Newbridge Rd, Bellmore, NY 11710-2231 | 2006-08-16 |
| 1548270788 | Michael L Goodman | Neurological Surgery | 2870 Cleveland Ave, Suite #819, Fort Myers, FL 33901-5817 | 2006-08-09 |
| 1841283108 | Michael Jay Goodman | Dentist | 12301 82nd Rd, Kew Gardens, NY 11415-1601 | 2005-08-23 |
| 1467450007 | Michael James Goodman | Physical Therapist | 5508 Harbor Ave., Freeland, WA 98249 | 2005-07-08 |
| Street Address |
11250 ROGER BACON DR SUITE 12 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558383455 | Marsha Joan Swerdloff | Social Worker | 11250 Roger Bacon Dr, Suite 7, Reston, VA 20190-5219 | 2006-07-23 |
| 1871837781 | Naomi Phyllis Bartakke | Social Worker | 11250 Roger Bacon Dr, Suite 6, Reston, VA 20190-5219 | 2012-11-15 |
| 1346557394 | Judith Rose Brown | Counselor | 11250 Roger Bacon Dr, Reston, VA 20190-5219 | 2010-09-10 |
| 1619103140 | Earl R Durant | Counselor | 11250 Roger Bacon Dr, Suite 12, Reston, VA 20190-5219 | 2009-06-10 |
| 1013116789 | Nancy Whiteley | Counselor | 11250 Roger Bacon Dr, Suite 7, Reston, VA 20191 | 2007-07-13 |
| 1013139724 | Patricia Susan Small | Counselor | 11250 Roger Bacon Dr, Suite 6, Reston, VA 20190-5219 | 2007-05-03 |
| 1386863751 | Mary Elizabeth Gibbons | Acupuncturist | 11250 Roger Bacon Dr, Suite 23, Reston, VA 20190-5219 | 2007-04-24 |
| 1093849093 | Linda C. Rubinstein | Social Worker | 11250 Roger Bacon Dr, The Atrium, Suite 12, Reston, VA 20190-5219 | 2007-03-14 |
| 1275663890 | Ellen J Kabat | Social Worker | 11250 Roger Bacon Dr, #7, Reston, VA 20190-5202 | 2007-03-06 |
| 1467515676 | Jean S Gold | Social Worker | 11250 Roger Bacon Dr, #12, Reston, VA 20190-5219 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409075 | Alicea Ardito | Social Worker | 11611 Hunters Green Ct, Reston, VA 20191-3505 | 2020-05-21 |
| 1841822541 | Shayna Sargent | Social Worker | 1783 Jonathan Way Unit J, Reston, VA 20190-3515 | 2020-02-10 |
| 1912321647 | Catherine Cairo Patrick | Social Worker | 11594 Lake Newport Rd, Reston, VA 20194-1210 | 2014-02-17 |
| 1265770283 | Arlene Butler | Social Worker | 11910 Sloane Ct, Reston, VA 20191-2726 | 2013-01-25 |
| 1053615328 | Joshua Metz | Social Worker | 1108 Round Pebble Ln, Reston, VA 20194-1002 | 2010-12-30 |
| 1316142433 | Gabriela Marquez Canale | Social Worker | 11336 Orchard Ln, Reston, VA 20190-4430 | 2007-06-19 |
| 1457560542 | Elaine Marie Shaver | Social Worker | 11333 Sunset Hils Rd, Reston, VA 20190-5205 | 2007-05-22 |
| 1780890582 | Robert David Caldwell Iv | Social Worker | 1984 Isaac Newton Sq W Ste 204, Reston, VA 20190-5040 | 2007-05-16 |
| 1942412960 | Susan Holyoke Johnston | Social Worker | 11428 Waterview Cluster, Reston, VA 20190-4313 | 2007-05-03 |
| 1811016835 | Cynthia L Lowenthal | Social Worker | 11363 Sunset Hills Road, Reston, VA 20190-5205 | 2007-03-29 |
| Find all providers in RESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.