MRS. STACEY A GOODMAN EATON LCSW
NPI 1518908680
Social Worker - Clinical in San Diego, CA

Active since June 09, 2006
12520 HIGH BLUFF DR, STE 135, SAN DIEGO, CA 92130(619) 383-6700(619) 383-6701 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stacey A Goodman Eaton Lcsw NPPES

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

MRS. STACEY A GOODMAN EATON LCSW (NPI 1518908680) is an individual clinical provider in San Diego, California, licensed in California (LCS18913) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1518908680
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. STACEY A GOODMAN EATONCredential: LCSW
Location Address12520 HIGH BLUFF DR, STE 135San Diego, CA 92130-3066
Mailing Address12520 High Bluff Dr, Ste 135San Diego, CA 92130-3066 · (619) 528-4600 · Fax (619) 528-4625
Fax(619) 383-6701
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 16, 2016
NPI 1518908680 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 · LCS18913
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.
12520 HIGH BLUFF DR, San Diego, CA 92130

Other Names 1

Former Name (1)Stacey A Goodman Lcsw

Other Identifiers 2

Medicare PINW416CA
Medicare PINSW18913CA

Other Providers at the Same Location NPPES 7

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

Psychiatry & Neurology (Psychiatry)
12520 HIGH BLUFF DR, SUITE 120
SAN DIEGO, CA 92130
Psychiatry & Neurology (Psychiatry)
12520 HIGH BLUFF DR, 135
SAN DIEGO, CA 92130
Counselor (Mental Health)
12520 HIGH BLUFF DR, SUITE 120
SAN DIEGO, CA 92130
Social Worker (Clinical)
12520 HIGH BLUFF DR, #135
SAN DIEGO, CA 92130
Counselor (School)
12520 HIGH BLUFF DR, SUITE 120
SAN DIEGO, CA 92130
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12520 HIGH BLUFF DR, SUITE 120
SAN DIEGO, CA 92130
Marriage & Family Therapist
12520 HIGH BLUFF DR, STE 100
SAN DIEGO, CA 92130

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 Stacey Goodman Eaton's NPI number?

The NPI number for Stacey Goodman Eaton is 1518908680. It was assigned to this individual provider in the NPPES registry on June 9, 2006. The provider is also known as Stacey A Goodman Lcsw.

Where is Stacey Goodman Eaton located?

Stacey Goodman Eaton practices at 12520 High Bluff Dr Ste 135, San Diego, CA 92130. The listed phone number is (619) 383-6700.

What is Stacey Goodman Eaton'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 Stacey Goodman Eaton was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.