Mark Goodman, LCSW is a
Social Worker - Clinical based in Bend, Oregon. Mark Goodman is licensed to practice in Oregon (license number 5447) and his current practice location is
62930 O B Riley Rd Ste 200, Bend, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 330-1919.
NPI number for Mark Goodman is 1568749687 and his current mailing address is 399 E 10th Ave, Eugene, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568749687.
Healthcare Provider's Profile
| Full Name | Mark Goodman |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 62930 O B Riley Rd Ste 200, Bend, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568749687
- Provider Enumeration Date: 11/03/2011
- Last Update Date: 05/06/2022
Medical Identifiers
Medical identifiers for Mark Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568749687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5447 (Oregon) | Primary |
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. Mark Goodman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Goodman, LCSW
399 E 10th Ave,
Eugene, OR 97401-3380
Ph: (541) 868-2004 | Mark Goodman, LCSW
62930 O B Riley Rd Ste 200,
Bend, OR 97703-9459
Ph: (541) 330-1919 |
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