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

Mark Goodman, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568749687

Mark Goodman, LCSW is a Clinical Social Worker in Bend, Oregon. Qualified in 2009, 17 years ago. Practices with Sokyahealth Medical Group PC, a 68-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
17
Licensed in
OR
In the registry since
2011
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

62930 O B Riley Rd Ste 200
Bend, OR 97703-9459
Phone: (541) 330-1919
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5447 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1568749687
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 3, 2011
Last updated in NPPESMay 6, 2022
Certification dateMay 6, 2022
Mailing address399 E 10th Ave, Eugene, OR 97401-3380

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Sokyahealth Medical Group Pc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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