Individual
AMY GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2939 ELLIS ST, BERKELEY, CA 94703-2107
(510) 981-5173
Mailing address
2939 ELLIS ST, BERKELEY, CA 94703-2107
(510) 981-5173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
109529
CA
Other
Enumeration date
08/18/2015
Last updated
08/11/2025
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