| Kimberly D. Goodrich, Lcsw L.l.c. | |
|
134 W End Ave 2nd Floor Somerville NJ 08876-1816 | |
| (908) 334-0261 | |
| Not Available |
| Full Name | Kimberly D. Goodrich, Lcsw L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 134 W End Ave, Somerville, New Jersey |
| Authorized Official Name and Position | Kimberly D. Goodrich (OWNER) |
| Authorized Official Contact | 9083340261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly D. Goodrich, Lcsw L.l.c. 57 Whitehead Rd Bridgewater NJ 08807-3592 Ph: () - | Kimberly D. Goodrich, Lcsw L.l.c. 134 W End Ave 2nd Floor Somerville NJ 08876-1816 Ph: (908) 334-0261 |
| NPI Number | 1740568013 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740568013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00144300 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05340000 (New Jersey) | Primary |
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