MS. VANESSA RITA GOODMAN (LICSW) – Clinical Social Worker, NPI 1558455139

MS. VANESSA RITA GOODMAN (LICSW) is a healthcare provider. based in Braintree, Massachusetts. specializing in NURSE PRACTITIONER, CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 106192 (MA). The NPI Number for MS. VANESSA RITA GOODMAN (LICSW) is 1558455139

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MS. VANESSA RITA GOODMAN (LICSW)
NPI
1558455139
Phone
(781) 223-8514
Address
28 COLBY ROAD
Enumeration Date
3 October 2006
Last Update Date
1 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
8921036906
Professional Enrollment ID
I20250425001343
Address ID
GA305660018OaPOXXXBOXX201
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

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Provider Addresses for MS. VANESSA RITA GOODMAN (LICSW)

  • 28, Colby Road, Five Corners, Braintree, Norfolk County, Massachusetts, 02184, United States

    BRAINTREE, MA 02184

    Phone: (781) 223-8514

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050801000372IClinical Social WorkerMATBD
I20250425001343INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02184)

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Reviews

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Frequently asked questions

What is the registry number for MS. VANESSA RITA GOODMAN (LICSW)?
The registry entry for MS. VANESSA RITA GOODMAN (LICSW) shows NPI 1558455139.
Does the public listing show MS. VANESSA RITA GOODMAN (LICSW) as active?
MS. VANESSA RITA GOODMAN (LICSW)'s NPI record reflects an active status in NPPES.
What services align with MS. VANESSA RITA GOODMAN (LICSW)'s listing?
MS. VANESSA RITA GOODMAN (LICSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. VANESSA RITA GOODMAN (LICSW) tied to Braintree, Massachusetts?
If you are local to Braintree, Massachusetts, MS. VANESSA RITA GOODMAN (LICSW) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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