Individual
CARMELINE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LCSW, RPT
Contact information
Practice address
6811 SHAWNEE MISSION PKWY STE 310, OVERLAND PARK, KS 66202-4088
(913) 544-9285
(913) 229-7511
Mailing address
6811 SHAWNEE MISSION PKWY STE 310, OVERLAND PARK, KS 66202-4088
(913) 544-9285
(913) 229-7511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
#4342
KS
1041C0700X
Clinical Social Worker
2014022969
MO
1041C0700X
Clinical Social Worker
27484203
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
KS
Enumeration date
04/18/2017
Last updated
04/18/2017
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