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

Kyler Scott Goodman

Individual provider Social Worker · NPI 1801720305

Kyler Scott Goodman is a Social Worker in Rexburg, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

3748 W Sagewood Dr
Rexburg, ID 83440-1229
Phone: (208) 206-5419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 7381211 (ID)

Record details

NPI number1801720305
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address3748 W Sagewood Dr, Rexburg, ID 83440-1229

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