Doctor Name: | MRS. KIMBERLY RENEE GOODMAN |
NPI Number: | 1043482425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, L.C.S.W. |
License Number: | 936 |
Business Practice Address: | 314 N Last Chance Gulch Ste 211b Helena, MT - 596015012 |
Business Phone Number: | 4064381324 |
Business Fax Number: | |
Mailing Address: | 1901 Spokane Creek Rd, EAST HELENA |
State: | MT |
Postal Code: | 596359786 |
Phone Number: | 4064381324 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2008 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |