MICHAEL B GOODMAN LCSW
NPI 1770787129
Social Worker - Clinical in Reston, VA

Active since June 11, 2007
11250 ROGER BACON DR, SUITE 12, RESTON, VA 20190(703) 517-0107 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael B Goodman Lcsw NPPES

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

MICHAEL B GOODMAN LCSW (NPI 1770787129) is an individual clinical provider in Reston, Virginia, licensed in Virginia (0904001243) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1770787129
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL B GOODMANCredential: LCSW
Location Address11250 ROGER BACON DR, SUITE 12Reston, VA 20190-5219
Mailing Address20769 Riverbirch PlPotomac Falls, VA 20165-7396 · (703) 517-0107
Sole ProprietorYes
Enumeration DateJune 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1770787129 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 VA · 0904001243
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.
11250 ROGER BACON DR, Reston, VA 20190

Other Providers at the Same Location NPPES 14

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

Counselor (Professional)
11250 ROGER BACON DR, SUITE 6
RESTON, VA 20190
Chiropractor
11250 ROGER BACON DR, SUITE 4
RESTON, VA 20190
Social Worker (Clinical)
11250 ROGER BACON DR, THE ATRIUM, SUITE 12
RESTON, VA 20190
Dentist
11250 ROGER BACON DR, #13
RESTON, VA 20190
Social Worker (Clinical)
11250 ROGER BACON DR, #7
RESTON, VA 20190
Counselor (Mental Health)
11250 ROGER BACON DR
RESTON, VA 20190
Acupuncturist
11250 ROGER BACON DR, SUITE 23
RESTON, VA 20190
Social Worker (Clinical)
11250 ROGER BACON DR
RESTON, VA 20190

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 Michael Goodman's NPI number?

The NPI number for Michael Goodman is 1770787129. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Michael Goodman located?

Michael Goodman practices at 11250 Roger Bacon Dr Suite 12, Reston, VA 20190. The listed phone number is (703) 517-0107.

What is Michael 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 Michael Goodman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.