Provider Demographics
NPI:1235395054
Name:GOODMAN, DONALD C (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:C
Last Name:GOODMAN
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23020 WEYMOUTH PL
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-2041
Mailing Address - Country:US
Mailing Address - Phone:323-839-9874
Mailing Address - Fax:661-297-0011
Practice Address - Street 1:27955 SMYTH DR STE 101
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4037
Practice Address - Country:US
Practice Address - Phone:323-839-9874
Practice Address - Fax:661-297-0011
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 227981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical