MICHAEL GOODMAN, LCSW

Social Worker - Clinical

Active Individual
NPI: 1770787129

Practice Address

11250 ROGER BACON DR
SUITE 12
Reston, VA 20190

Phone: (703) 517-0107

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 0904001243 (VA)

Frequently Asked Questions

NPI 1770787129 is the National Provider Identifier for MICHAEL GOODMAN, LCSW, a Social Worker - Clinical provider located in Reston, VA. This NPI was enumerated on June 11, 2007.
MICHAEL GOODMAN, LCSW practices at 11250 ROGER BACON DR, SUITE 12, Reston, VA 20190.

Quick Facts

NPI
1770787129
Type
Individual
Enumerated
Jun 11, 2007
Last Updated
Jul 8, 2007

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