National Provider Identifier
Kathy A Goodrich, MSW LCSW ACSW
Kathy A Goodrich, MSW LCSW ACSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 385-6030.
Profile Overview
- NPI
- 1912036625
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 06, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1598 Penfield RD
- Rochester, NY 14625-2252
Phone: (585) 385-6030
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1912036625
- Entity Type
- Individual
- Last Name
- Goodrich
- First Name
- Kathy
- Middle Name
- A
- Name Prefix
- Mrs.
- Credential
- MSW LCSW ACSW
- Provider Other Last Name
- Vandenbergh
- Provider Other First Name
- Kathy
- Provider Other Middle Name
- A
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- MSW LCSWR ACSW
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1598 Penfield RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-2252
- Mailing Country
- US
- Mailing Phone
- (585) 385-6030
- Mailing Fax
- (585) 385-6168
- Practice Street Address
- 1598 Penfield RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-2252
- Practice Country
- US
- Practice Phone
- (585) 385-6030
- Practice Fax
- (585) 385-6168
- Enumeration Date
- March 06, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)