KIM WENDEE GOODMAN
NPI 1710554159
Social Worker - Clinical in Huntington Beach, CA

Q: What is Kim Goodman's NPI number?

The NPI number for Kim Goodman is 1710554159. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Q: What is Kim Goodman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kim Goodman was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 04, 2021

17111 BEACH BLVD STE 205, HUNTINGTON BEACH, CA 92647(714) 654-1570(844) 533-6952 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kim Wendee Goodman NPPES

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

KIM WENDEE GOODMAN (NPI 1710554159) is an individual clinical provider in Huntington Beach, California, licensed in California (25275) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1710554159

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIM WENDEE GOODMAN

Location Address17111 BEACH BLVD STE 205Huntington Beach, CA 92647-5947

Mailing Address17111 Beach Blvd Ste 205Huntington Beach, CA 92647-5947 · (714) 654-1570 · Fax (844) 533-6952

Phone(714) 654-1570

Fax(844) 533-6952

Sole ProprietorYes

Enumeration DateJune 4, 2021

NPPES CertifiedJune 4, 2021

✔ NPI 1710554159 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 · 25275

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.

17111 BEACH BLVD STE 205, Huntington Beach, CA 92647

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MS. EMILY CHRISTINA YANEZ FLORES MA

Marriage & Family Therapist