KELLY L GOODMAN MSW
NPI 1487782553
Social Worker - Clinical in Portland, OR
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 and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly L Goodman Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Goodman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98405
- Reassigned Medicare billing, Oregon enrollment
- 314 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelly Goodman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Goodman reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Goodman accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans 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.
# Kelly L Goodman, MSW · NPI 1487782553
Clinical provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 1, 2007.
## Identity
- **NPI:** 1487782553 (Entity type: Individual)
- **Enumerated:** March 1, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 3559 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 421 SW OAK ST, 210, Portland, OR 97204-1817
- **Phone:** (503) 988-3674 · **Fax:** (503) 988-5180
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Western Psychological And Counseling Services LLC (NPI 1912008178, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** December 11, 2009
- **Other identifiers:** Medicare ID-Type Unspecified 133774 (OR); Medicare UPIN Q133774 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1487782553) · Data from the CMS NPPES public registry.