Provider Demographics
NPI:1932815727
Name:GOODLOE, SYLVIA (LCSW)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:GOODLOE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 TAUROMEE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-3042
Mailing Address - Country:US
Mailing Address - Phone:913-321-2626
Mailing Address - Fax:
Practice Address - Street 1:636 TAUROMEE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-3042
Practice Address - Country:US
Practice Address - Phone:913-321-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-25
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical