MS. LAURA ELIZABETH GOODMAN LICSW
NPI 1790305100
Social Worker in Providence, RI

Q: What is the provider's specialty?

The provider's specialty is Social Worker with taxonomy code 104100000X.

Active since April 26, 2020PECOS Enrolled

245 CHAPMAN ST STE 300, PROVIDENCE, RI 02905(917) 620-4052 Get Directions Write a Review

NPPES record last updated: April 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Laura Elizabeth Goodman Licsw NPPES

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

MS. LAURA ELIZABETH GOODMAN LICSW (NPI 1790305100) is an individual social worker in Providence, Rhode Island, licensed in Rhode Island (ISW03059) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790305100

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. LAURA ELIZABETH GOODMANCredential: LICSW

Location Address245 CHAPMAN ST STE 300Providence, RI 02905-4539

Mailing Address72 E Transit St Apt 2Providence, RI 02906-3821 · (917) 620-4052

Phone(917) 620-4052

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateApril 26, 2020

NPPES CertifiedApril 26, 2020

✔ NPI 1790305100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in RI · ISW03059

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

245 CHAPMAN ST STE 300, Providence, RI 02905

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Secondary Practice Location 1

Location 172 E Transit St Apt 2Providence, RI 02906-3821 · Phone (917) 620-4052

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Laura Elizabeth Goodman Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022532662

PECOS Enrollment IDI20250404001758

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.