Provider Demographics
NPI:1497219695
Name:GOODNESS, ERIN TAYLOR (LMSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:TAYLOR
Last Name:GOODNESS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 TARRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-5716
Mailing Address - Country:US
Mailing Address - Phone:585-406-7701
Mailing Address - Fax:
Practice Address - Street 1:406 TARRINGTON RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-5716
Practice Address - Country:US
Practice Address - Phone:585-406-7701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY096794104100000X
NY0880021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker