Goodwin, Gerald Evelyn
Goodwin, Gerald Evelyn is an sole proprietor health care provider with primary practice located at 3531 Slade Run Dr , Falls Church VA 22042-3923. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goodwin, Gerald Evelyn can be contacted via phone (703) 237-2231.Contact Information
Primary practice address
3531 Slade Run Dr
Falls Church VA 22042-3923
Phone: (703) 237-2231
Fax: (703) 237-2231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 09043352 | Virginia |
Profile Details
| NPI number | 1306998349 |
|---|---|
| LBN Legal business name | Goodwin, Gerald Evelyn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306998349 | NPPES |
| Virginia | MEDICAID | 8945616 | |
| Virginia | Other | 394133 | |
| Virginia | Other | 7745413 | |
| Virginia | Other | M607 |
Popular Providers
-
Vigon, Derek
1750 Anderson Rd , Falls Church VA 22043-1142 -
Peterson, Michael Terrill
2020 Peach Orchard Dr Apt 31 , Falls Church VA 22043-2048 -
Farina-Morse, Marissa Beth
6245 Leesburg Pike , Falls Church VA 22044-2106 -
Gwaltney-Hausch, Stefanie N
712 W Broad St Ste 8 , Falls Church VA 22046-3222 -
Bergwall, Sabine Fajon
6400 Arlington Blvd Suite 110, Falls Church VA 22042-2325 -
Paczkowski, Emilie Ann
6063 Arlington Blvd , Falls Church VA 22044-2721 -
Kroll, Gloria Jeanne
407 N Washington St Suite 101, Falls Church VA 22046-3430 -
Alvarez, Barry J
207 Park Ave Suite B-3, Falls Church VA 22046-4312