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Individual
LISA GOODMAN NIEDERMAN
Active
Individual
LISA GOODMAN NIEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009243
NC
1041C0700X
Clinical Social Worker
ISW00498
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30118-1
BLUE CROSS
RI
01
—
408503
BLUE CHIP
RI
01
—
62-67493
UBH
RI
05
—
LY10977
—
RI
Enumeration date
08/04/2006
Last updated
02/26/2026
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