ELLEN GOODMAN LCSW
NPI 1366627747
Social Worker - Clinical in Rego Park, NY

Active since January 04, 2008
9729 64TH RD, REGO PARK, NY 11374(718) 896-3400(718) 459-5621 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellen Goodman Lcsw NPPES

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

ELLEN GOODMAN LCSW (NPI 1366627747) is an individual clinical provider in Rego Park, New York, licensed in New York (024669) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1366627747
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN GOODMANCredential: LCSW
Location Address9729 64TH RDRego Park, NY 11374-2240
Mailing Address29 2nd AvePort Washington, NY 11050-3126 · (516) 474-6768
Fax(718) 459-5621
Sole ProprietorNo
Enumeration DateJanuary 4, 2008
Last NPPES UpdateJune 24, 2008
NPI 1366627747 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 · 024669
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.

9729 64TH RD, Rego Park, NY 11374

Other Names 1

Professional Name (2)Ellen Imhof Lcsw

Other Identifiers 1

Medicaid00244019NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Counselor (Mental Health)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374
Social Worker (Clinical)
9729 64TH RD
REGO PARK, NY 11374

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 Ellen Goodman's NPI number?

The NPI number for Ellen Goodman is 1366627747. It was assigned to this individual provider in the NPPES registry on January 4, 2008. The provider is also known as Ellen Imhof Lcsw.

Where is Ellen Goodman located?

Ellen Goodman practices at 9729 64th Rd, Rego Park, NY 11374. The listed phone number is (718) 896-3400.

What is Ellen 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 Ellen Goodman was last updated on June 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.