Katherine Goodman, MSW, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Edina, Minnesota. Her current practice location is
7301 Ohms Ln Ste 450, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 208-2622.
Katherine Goodman is licensed to practice in Minnesota (license number 27410) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467017095.
Healthcare Provider's Profile
| Full Name | Katherine Goodman |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 7301 Ohms Ln Ste 450, Edina, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467017095
- Provider Enumeration Date: 05/08/2019
- Last Update Date: 03/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951749761
- Enrollment ID: I20240329000150
Medical Identifiers
Medical identifiers for Katherine Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467017095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 305348 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 27410 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katherine Goodman allows following entities to bill medicare on her behalf.
| Entity Name | Susan Borden Psych |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780313478
PECOS PAC ID: 4688011612
Enrollment ID: O20240326001340 |
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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. Katherine Goodman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Katherine Goodman, MSW, LICSW, LADC
7301 Ohms Ln Ste 450,
Edina, MN 55439-2339
Ph: (612) 702-8389 | Katherine Goodman, MSW, LICSW, LADC
7301 Ohms Ln Ste 450,
Edina, MN 55439-2339
Ph: (612) 208-2622 |
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