KELLY L GOODMAN MSW
NPI 1487782553
Social Worker - Clinical in Portland, OR

Active since March 01, 2007PECOS Enrolled
421 SW OAK ST, 210, PORTLAND, OR 97204(503) 988-3674(503) 988-5180 Get Directions Write a Review

NPPES record last updated: December 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly L Goodman Msw NPPES

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

KELLY L GOODMAN MSW (NPI 1487782553) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3559) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487782553
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY L GOODMANCredential: MSW
Location Address421 SW OAK ST, 210Portland, OR 97204-1817
Mailing Address426 Sw Stark St, 8th FloorPortland, OR 97204-2347 · (503) 988-3674 · Fax (503) 988-5180
Fax(503) 988-5180
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateDecember 11, 2009
NPI 1487782553 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 OR · 3559
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.
421 SW OAK ST, Portland, OR 97204

Other Identifiers 2

Medicare ID-Type Unspecified133774OR
Medicare UPINQ133774OR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly L Goodman Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97204 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 $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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.

Counselor
421 SW OAK ST, SUITE 520
PORTLAND, OR 97204
Dental Hygienist
421 SW OAK ST, STE. 210
PORTLAND, OR 97204
Health Maintenance Organization
421 SW OAK ST
PORTLAND, OR 97204
Counselor (Mental Health)
421 SW OAK ST, SUITE 520
PORTLAND, OR 97204
Counselor (Mental Health)
421 SW OAK ST
PORTLAND, OR 97204
Case Manager/Care Coordinator
421 SW OAK ST
PORTLAND, OR 97204
Counselor (Professional)
421 SW OAK ST, SUITE 520
PORTLAND, OR 97204
Case Manager/Care Coordinator
421 SW OAK ST, SUITE 520
PORTLAND, OR 97204

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 Kelly Goodman's NPI number?

The NPI number for Kelly Goodman is 1487782553. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Kelly Goodman located?

Kelly Goodman practices at 421 SW Oak St 210, Portland, OR 97204. The listed phone number is (503) 988-3674.

What is Kelly Goodman's specialty?

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

Is Kelly Goodman enrolled in Medicare?

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

What insurance does Kelly Goodman accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Kelly Goodman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Goodman was last updated on December 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.