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

Revital Goodman, LCSW

Individual provider Contractor · NPI 1629470620

Revital Goodman, LCSW is a Contractor in Boca Raton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
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

9858 Glades Rd # D3-218
Boca Raton, FL 33434-3983
Phone: (323) 770-4777
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence SW 11854 (FL)

Record details

NPI number1629470620
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 22, 2014
Last updated in NPPESSeptember 22, 2014

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