Katherine Goodman, MSW, LICSW, LADC in Saint Paul, MN

Katherine Goodman, MSW, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Saint Paul, Minnesota. Her current practice location is 2303 Wycliff St Ste W210, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 424-0434.

Katherine Goodman is licensed to practice in Minnesota (license number 27410) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467017095.

Contact Information

	Katherine Goodman, MSW, LICSW, LADC
	2303 Wycliff St Ste W210, Saint Paul, MN 55114
	(612) 424-0434
	(877) 905-7069

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine Goodman
Gender	Female
Speciality	Social Worker - Clinical
Location	2303 Wycliff St Ste W210, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467017095
Provider Enumeration Date: 05/08/2019
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 1951749761
Enrollment ID: I20240329000150

Medical Identifiers

Medical identifiers for Katherine Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467017095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	27410 (Minnesota)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	305348 (Minnesota)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katherine Goodman allows following entities to bill medicare on her behalf.

Entity Name	Susan Borden Psych
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780313478 PECOS PAC ID: 4688011612 Enrollment ID: O20240326001340

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Goodman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katherine Goodman, MSW, LICSW, LADC 2303 Wycliff St Ste W210, Saint Paul, MN 55114-1272 Ph: (612) 424-0434	Katherine Goodman, MSW, LICSW, LADC 2303 Wycliff St Ste W210, Saint Paul, MN 55114 Ph: (612) 424-0434

Reviews and Comments

Social Worker in Saint Paul, MN

Mr. Michael Joseph O'neill, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7900 Fax: 651-266-7850
Ms. Sharon Kay Geiger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7978
Mrs. Karen Anne Stevensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 612-720-5083
Kathleen Lombardi, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W Ste 200, Saint Paul, MN 55104 Phone: 651-266-7900
Ms. Sherie Lou Bosak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 821 Raymond Ave, #300, Saint Paul, MN 55114 Phone: 651-645-0438 Fax: 651-647-0659
Helen Jane Gammon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-2766
Ken Wilfred Schmitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 651-659-0294

Katherine Goodman, MSW, LICSW, LADC - Medicare Clinical Social Worker in Saint Paul, MN