# CARMELINE GOODWIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245764067
- **Gender:** F
- **Credential:** LSCSW, LCSW, RPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | \#4342 | KS | Yes |
| 1041C0700X | Clinical Social Worker | 2014022969 | MO | — |
| 1041C0700X | Clinical Social Worker | 27484203 | KS | — |

## Other

- **Enumeration date:** 04/18/2017
- **Last updated:** 04/18/2017