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NPI Code Detail

MEDICARE: MS. NANCY L GOODMAN LCSW

MEDICARE:  MS. NANCY L GOODMAN  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker992896CO

General Provider Information

NPI Number : 1578566709
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY L GOODMAN LCSW
Provider Business Mailing Address
First Line : 333 S ALLISON PKWY
Second Line : STE 302
City : LAKEWOOD
State : CO
Zip : 80226-3115
Country : US
Telephone Number : 303-916-9692
Fax Number :
Provider Business Practice Location Address
First Line : 333 S ALLISON PKWY
Second Line : STE 302
City : LAKEWOOD
State : CO
Zip : 80226-3115
Country : US
Telephone Number : 303-916-9692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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Directions to “ MS. NANCY L GOODMAN LCSW” Practice Location

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