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

Roosevelt Goodman Jr Jr.

Individual provider Case Manager/Care Coordinator · NPI 1497569248

Roosevelt Goodman Jr Jr. is a Case Manager/Care Coordinator in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3214 Prospect Ave E
Cleveland, OH 44115-2614
Phone: (216) 910-9015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.190613 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1497569248
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2025
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

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