National Provider Identifier

Aline Rebecca Goodman, LMSW

Aline Rebecca Goodman, LMSW is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 835-4011.

NPI 1902080328Buffalo, NYCounselor

Profile Overview

NPI
1902080328
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
December 20, 2007
Last Updated
December 11, 2023

Practice Location

  • 3350 Main St
  • Buffalo, NY 14214-1316

Phone: (716) 835-4011

Mailing Address

  • 142 Saranac Ave Apt 6
  • Buffalo, NY 14216-2448

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1902080328
Entity Type
Individual
Last Name
Goodman
First Name
Aline
Middle Name
Rebecca
Name Prefix
MS.
Credential
LMSW
Mailing Street Address
142 Saranac Ave Apt 6
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-2448
Mailing Country
US
Mailing Phone
(347) 693-4161
Practice Street Address
3350 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-1316
Practice Country
US
Practice Phone
(716) 835-4011
Practice Fax
(716) 835-0253
Enumeration Date
December 20, 2007
Last Updated
December 11, 2023
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
December 11, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)