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

Michael B Goodman, LCSW

Individual provider Clinical Social Worker · NPI 1770787129

Michael B Goodman, LCSW is a Clinical Social Worker in Reston, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007
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

11250 Roger Bacon Dr Ste 12
Reston, VA 20190-5219
Phone: (703) 517-0107
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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 0904001243 (VA)

Record details

NPI number1770787129
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 11, 2007
Last updated in NPPESJuly 8, 2007
Mailing address20769 Riverbirch Pl, Potomac Falls, VA 20165-7396

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