COURTNEY GOODRUM LLC
NPI 1922845643
Social Worker - Clinical in Fayetteville, AR

Q: What is Courtney Goodrum LLC's NPI number?

The NPI number for Courtney Goodrum LLC is 1922845643. It was assigned to this organization in the NPPES registry on July 10, 2024.

Q: What is Courtney Goodrum LLC's specialty?

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

Active since July 10, 2024

1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 443-5575(479) 443-9554 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Courtney Goodrum Llc NPPES

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

COURTNEY GOODRUM LLC (NPI 1922845643) is a healthcare organization registered as a clinical in Fayetteville, Arkansas and active in the NPI registry since July 2024. The organization lists Courtney Elaine Goodrum, Owner, as its authorized official.

NPPES Registry Identity

NPI1922845643

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameCOURTNEY GOODRUM LLC

Location Address1 W SUNBRIDGE DRFayetteville, AR 72703-1825

Mailing Address1 W Sunbridge DrFayetteville, AR 72703-1825 · (479) 443-5575 · Fax (479) 443-9554

Phone(479) 443-5575

Fax(479) 443-9554

Organization SubpartNo

Authorized OfficialCourtney Elaine GoodrumOwner · (479) 366-6479

Enumeration DateJuly 10, 2024

NPPES CertifiedJuly 10, 2024

✔ NPI 1922845643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

1 W SUNBRIDGE DR, Fayetteville, AR 72703

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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.

LAURA K CAMARGO LCSW

Social Worker