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

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