Mr Daryl Arnett Goodman Sr, is a
Social Worker - Clinical based in Charlotte, North Carolina. Mr Daryl Arnett Goodman Sr is licensed to practice in North Carolina (license number P011147) and his current practice location is
3707 Latrobe Dr Ste 450, Charlotte, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 563-3336.
NPI number for Mr Daryl Arnett Goodman Sr is 1376070417 and his current mailing address is 3212 Fowler Court, Charlotte, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376070417.
Healthcare Provider's Profile
| Full Name | Mr Daryl Arnett Goodman Sr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3707 Latrobe Dr Ste 450, Charlotte, North Carolina |
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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: 1376070417
- Provider Enumeration Date: 05/19/2017
- Last Update Date: 05/19/2017
Medical Identifiers
Medical identifiers for Mr Daryl Arnett Goodman Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376070417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | P011147 (North Carolina) | 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. Mr Daryl Arnett Goodman Sr 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 |
|---|
Mr Daryl Arnett Goodman Sr,
3212 Fowler Court,
Charlotte, NC 28216
Ph: (704) 451-9559 | Mr Daryl Arnett Goodman Sr,
3707 Latrobe Dr Ste 450,
Charlotte, NC 28211-1361
Ph: (704) 563-3336 |
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