Jessica V Goodman, is a
Social Worker - Clinical based in Berkeley, California. Jessica V Goodman is licensed to practice in California (license number 101361) and her current practice location is
1918 Bonita Ave Ste 200, Berkeley, California. She can be reached at her office (for appointments etc.) via phone at
(707) 435-3764.
NPI number for Jessica V Goodman is 1487198651 and her current mailing address is 1918 Bonita Ave Ste 200, Berkeley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487198651.
Healthcare Provider's Profile
Full Name | Jessica V Goodman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1918 Bonita Ave Ste 200, Berkeley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487198651
- Provider Enumeration Date: 12/07/2016
- Last Update Date: 10/17/2022
Medical Identifiers
Medical identifiers for Jessica V Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487198651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 69425 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 101361 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica V Goodman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica V Goodman, 1918 Bonita Ave Ste 200, Berkeley, CA 94704-1014 Ph: (707) 435-3764 | Jessica V Goodman, 1918 Bonita Ave Ste 200, Berkeley, CA 94704-1014 Ph: (707) 435-3764 |
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