Goodman, Kenneth Jay

Goodman, Kenneth Jay is an individual health care provider with primary practice located at 18546 Roscoe Blvd Suite 210, Northridge CA 91324-4663. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goodman, Kenneth Jay can be contacted via phone (818) 542-7925.

Contact Information

Primary practice address
18546 Roscoe Blvd Suite 210 Northridge CA 91324-4663
Phone: (818) 542-7925
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS15866 California

Profile Details

NPI number 1598735037
LBN Legal business name Goodman, Kenneth Jay
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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