Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristy Diane Goodson

Individual provider Clinical Social Worker · NPI 1194156216

Kristy Diane Goodson is a Clinical Social Worker in Ammon, Idaho. Qualified in 2013, 13 years ago. Practices with 4 Pillars of Success LLC, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2013
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Practice location Address checks out

1675 Curlew Dr
Ammon, ID 83406-4718
Phone: (208) 523-5319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-38393 (ID)

Record details

NPI number1194156216
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2013
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice 4 Pillars Of Success Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ammon