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

Mrs. Lara Jean Goodman, LCSW

Individual provider Clinical Social Worker · NPI 1104236496

Mrs. Lara Jean Goodman, LCSW is a Clinical Social Worker in New York, New York. Qualified in 2010, 16 years ago. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1801 7th Ave 6B
New York, NY 10026-3602
Phone: (917) 526-0084
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 084458-1 (NY)

Record details

NPI number1104236496
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 7, 2014
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New York