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MRS. LARA JEAN GOODMAN LCSW
NPI 1104236496
Social Worker - Clinical in New York, NY

Active since May 07, 2014PECOS Enrolled
1801 7TH AVE, 6B, NEW YORK, NY 10026(917) 526-0084 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lara Jean Goodman Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LARA JEAN GOODMAN LCSW (NPI 1104236496) is an individual clinical provider in New York, New York, licensed in New York (084458-1) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104236496
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LARA JEAN GOODMANCredential: LCSW
Location Address1801 7TH AVE, 6BNew York, NY 10026-3602
Mailing Address1801 7th Ave, 6bNew York, NY 10026-3602 · (347) 604-3505
Phone(917) 526-0084
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 7, 2014
Last NPPES UpdateApril 18, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1104236496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 084458-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1801 7TH AVE, New York, NY 10026
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lara Jean Goodman Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810405149
PECOS Enrollment IDI20250806001642
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Goodman's NPI number?

The NPI number for Lara Goodman is 1104236496. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Lara Goodman located?

Lara Goodman practices at 1801 7th Ave 6B, New York, NY 10026. The listed phone number is (917) 526-0084.

What is Lara Goodman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lara Goodman enrolled in Medicare?

Yes. Lara Goodman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lara Goodman was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.