Goodman, Susan S
Goodman, Susan S is an individual health care provider with primary practice located at 918 Ormsby Ln , Louisville KY 40242-4536. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Goodman, Susan S can be contacted via phone (502) 327-4622.Contact Information
Primary practice address
918 Ormsby Ln
Louisville KY 40242-4536
Phone: (502) 327-4622
Fax: (502) 327-4675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 0626 | Kentucky |
Profile Details
| NPI number | 1871599621 |
|---|---|
| LBN Legal business name | Goodman, Susan S |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | May 21st, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871599621 | NPPES |
| Kentucky | MEDICAID | 8200102500 |
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