Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Nicole B. Goodson, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1649560228

MS. Nicole B. Goodson, MSCCC-SLP is a Qualified Speech Language Pathologist in West Creek, New Jersey. Qualified in 2007, 19 years ago. Practices with Coastal Home Rehabilitation, LLC, a 52-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
19
Licensed in
NJ
In the registry since
2011
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Practice location Address checks out

1064 S Main St
West Creek, NJ 08092-2912
Phone: (609) 448-2650
Fax: (609) 488-2651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YSOO593600 (NJ)

Record details

NPI number1649560228
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedApril 15, 2011
Last updated in NPPESJanuary 25, 2014

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Coastal Home Rehabilitation, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Creek