MEDICARE: PEGGY GOODMAN

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
1	1041C0700X	Clinical Social Worker
2	1041C0700X	Clinical Social Worker	LW61100775	WA

General Provider Information

NPI Number	:	1124631262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEGGY GOODMAN

Provider Business Mailing Address
First Line	:	7282 STINSON AVE STE B
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-4930
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7282 STINSON AVE STE B
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-4930
Country	:	US
Telephone Number	:	253-858-5846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2020
Last Update Date	:	08/28/2020

Similar Medicare Providers

1316800121 — JESSICA YEARWOOD MD PLLC
Practice Location Address:

7282 STINSON AVE STE C
GIG HARBOR, WA
98335-4930

Practice Phone: 253-785-8871
Practice Fax: 253-368-0341

1538726252 — ALTA VISTA INTEGRATED LIFE SERVICES
Practice Location Address:

7282 STINSON AVE STE B
GIG HARBOR, WA
98335-4930

Practice Phone: 855-201-8141
Practice Fax: 855-610-2353

1629523170 — WILCOX & HENRY DDS PS
Practice Location Address:

7282 STINSON AVE STE D
GIG HARBOR, WA
98335-4930

Practice Phone: 253-858-3457
Practice Fax:

1568024727 — TERESA KAY MAIB LCSW
Practice Location Address:

7282 STINSON AVE STE B
GIG HARBOR, WA
98335-4930

Practice Phone: 253-857-5447
Practice Fax: 253-857-0710

1295345981 — HEIDI LYN STURGEON
Practice Location Address:

7282 STINSON AVE STE B
GIG HARBOR, WA
98335-4930

Practice Phone: 360-858-5846
Practice Fax: 253-858-4063

1194310300 — MS. HEATHER LYNN MCLELLAN SWAIC
Practice Location Address:

7282 STINSON AVE STE B
GIG HARBOR, WA
98335-4930

Practice Phone: 253-858-5846
Practice Fax:

Directions to “ PEGGY GOODMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.