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

MS. IDA BLAN GOODWINE, LMSW

Active Sole Proprietor

MS. IDA BLAN GOODWINE, LMSW is a Social Worker healthcare provider located in ROCKAWAY BEACH, New York. NPI 1629264346 is currently active in the NPPES registry. Verify at CMS.

Social Worker · ROCKAWAY BEACH, NY

Registration Details

NPI Number
1629264346
Provider Type
Individual
Gender
Female
NPI Issued
Sep 16, 2007 (18.728953016137 yrs)
Last Updated
Sep 16, 2007
License
028031-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
220 BEACH 87TH ST
ROCKAWAY BEACH, NY, 116931604
Browse NY providers · Browse ZIP 11693
Phone
7183186536
Fax
7183186597
Primary Specialty
Social Worker
104100000X
Additional Specialty
Clinical Social Worker

Other Social Worker Providers in ROCKAWAY BEACH, NY

Name Credential NPI
DR. SANITAGO MARTINEZ JR. LCSW 1073829545
JODI YAEGER 1063717270
SHANIQUA GREEN 1407292733
RAIHANA BOSSE LMSW 1972997294
MRS. NICOLENE BURGHER-MARTIN LMSW 1497296602
MS. ELIZABETH FELIX LMSW 1770012098
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.