Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACK GOODRICH
NPI 1154236891
Social Worker - Clinical in Irvine, CA

Active since August 17, 2026

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jack Goodrich NPPES

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

JACK GOODRICH (NPI 1154236891) is an individual clinical provider in Irvine, California, licensed in California (140968) and active in the NPI registry since August 2026. He maintains a secondary practice location in Irvine.

NPPES Registry Identity

NPI1154236891
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK GOODRICH
Location Address11 TWAINIrvine, CA 92617-4090
Mailing Address11 TwainIrvine, CA 92617-4090
Sole ProprietorNo
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
NPI 1154236891 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 CA · 140968
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.
11 TWAIN, Irvine, CA 92617

Secondary Practice Location 1

Location 116485 Laguna Canyon Rd Ste 110Irvine, CA 92618-3839 · Phone (310) 571-5041

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 Jack Goodrich's NPI number?

The NPI number for Jack Goodrich is 1154236891. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Jack Goodrich located?

Jack Goodrich practices at 11 Twain, Irvine, CA 92617. The listed phone number is (949) 526-0016.

What is Jack Goodrich's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Goodrich was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.