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SHANNON KIVA GOODMAN
NPI 1285346635
Social Worker - Clinical in Garden Grove, CA

Active since December 16, 2022
6615 ANTHONY AVE, GARDEN GROVE, CA 92845(502) 649-2110 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Kiva Goodman NPPES

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

SHANNON KIVA GOODMAN (NPI 1285346635) is an individual clinical provider in Garden Grove, California and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1285346635
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON KIVA GOODMAN
Location Address6615 ANTHONY AVEGarden Grove, CA 92845-2207
Mailing Address6615 Anthony AveGarden Grove, CA 92845-2207 · (502) 649-2110
Phone(502) 649-2110
Sole ProprietorNo
Enumeration DateDecember 16, 2022
NPPES CertifiedDecember 16, 2022
✔ NPI 1285346635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
6615 ANTHONY AVE, Garden Grove, CA 92845
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Other Names 1

Former Name (1)Shannon Kiva Goodman

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 Shannon Goodman's NPI number?

The NPI number for Shannon Goodman is 1285346635. It was assigned to this individual provider in the NPPES registry on December 16, 2022. The provider is also known as Shannon Kiva Goodman.

Where is Shannon Goodman located?

Shannon Goodman practices at 6615 Anthony Ave, Garden Grove, CA 92845. The listed phone number is (502) 649-2110.

What is Shannon Goodman'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 Shannon Goodman was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.