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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRIAM ELANA IKEN GOODMAN

Active Sole Proprietor

MIRIAM ELANA IKEN GOODMAN is a Clinical Social Worker healthcare provider located in BRAINTREE, Massachusetts. NPI 1609390830 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BRAINTREE, MA

Registration Details

NPI Number
1609390830
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2017 (9.0239184365648 yrs)
Last Updated
Dec 18, 2020
Licenses
134364 (PA)
122382 (MA)
Sole Proprietor
Yes

Practice Information

Address
150 GROSSMAN DR STE 404
BRAINTREE, MA, 021844952
Browse MA providers · Browse ZIP 02184
Phone
5087406486
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in BRAINTREE, MA

Name Credential NPI
LOUISE P. ENOCH PHD 1942287503
KAREN BROUHARD LICSW MSW 1902867948
MS. KRISTINE M CLASBY L.I.C.S.W. 1659473411
MS. VANESSA RITA GOODMAN LICSW 1558455139
MRS. SUSAN G. FORBES L.I.C.S.W. 1689750903
MS. SALLY DUNN LICSW 1083793806
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.