Brittannie Drake Goodman, LCSW is a
Social Worker - Clinical based in Canton, Mississippi. Brittannie Drake Goodman is licensed to practice in Mississippi (license number C11415) and her current practice location is
192 Harvey Xing, Canton, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 436-7067.
NPI number for Brittannie Drake Goodman is 1831900133 and her current mailing address is 192 Harvey Xing, Canton, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831900133.
Healthcare Provider's Profile
Full Name | Brittannie Drake Goodman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 192 Harvey Xing, Canton, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831900133
- Provider Enumeration Date: 01/15/2025
- Last Update Date: 01/15/2025
Medical Identifiers
Medical identifiers for Brittannie Drake Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831900133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | C11415 (Mississippi) | Secondary |
1041C0700X | Social Worker - Clinical | C11415 (Mississippi) | Primary |
101YM0800X | Counselor - Mental Health | C11415 (Mississippi) | Secondary |
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. Brittannie Drake 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 |
Brittannie Drake Goodman, LCSW 192 Harvey Xing, Canton, MS 39046-4523 Ph: (662) 436-7067 | Brittannie Drake Goodman, LCSW 192 Harvey Xing, Canton, MS 39046-4523 Ph: (662) 436-7067 |
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