Doctor Name: | MS. BECKY GOODIN |
NPI Number: | 1225219827 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSCSW |
License Number: | 4402 |
Business Practice Address: | 16005 Prairie Way Basehor, KS - 660079737 |
Business Phone Number: | 9132403044 |
Business Fax Number: | |
Mailing Address: | Po Box 174, TONGANOXIE |
State: | KS |
Postal Code: | 660860174 |
Phone Number: | 9132403044 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2007 |
NPI Last Update Date: | 02/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |