Provider Demographics
NPI:1811141724
Name:GOODMAN, VALERIE DAWSON (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:DAWSON
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MISS
Other - First Name:VALERIE
Other - Middle Name:LYNN
Other - Last Name:DAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:10751 FALLS RD
Mailing Address - Street 2:SUITE 306,FALLS CONCOURSE
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4517
Mailing Address - Country:US
Mailing Address - Phone:410-583-2723
Mailing Address - Fax:410-583-2724
Practice Address - Street 1:10751 FALLS RD
Practice Address - Street 2:SUITE 306,FALLS CONCOURSE
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4517
Practice Address - Country:US
Practice Address - Phone:410-583-2723
Practice Address - Fax:410-583-2724
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCSW-3061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical