MICHAEL B GOODWIN (LMSW) – Clinical Social Worker, NPI 1447635743

MICHAEL B GOODWIN (LMSW) is a healthcare provider. based in Southgate, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801085644 (MI). The NPI Number for MICHAEL B GOODWIN (LMSW) is 1447635743

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL B GOODWIN (LMSW)
NPI
1447635743
Phone
(734) 785-7716
Address
19275 NORTHLINE RD
Enumeration Date
28 July 2015
Last Update Date
24 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2487597771
Graduation Year
2002 (24 years ago)
PAC ID
5395050496
Group Practice PAC ID
0648657650
Professional Enrollment ID
I20150819006953
Address ID
MI480891145WA25199RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MICHAEL B GOODWIN (LMSW)

  • 19275 NORTHLINE RD

    SOUTHGATE, MI 481952220

    Phone: (734) 785-7716

    Type: Mailing

  • 4700 LAS VEGAS BLVD N

    NELLIS AFB, NV 891916600

    Phone: (702) 653-3880

    Type: Mailing

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: 2015-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20150819006953IClinical Social WorkerMITBD

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 48195)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648657650View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is MICHAEL B GOODWIN (LMSW)'s NPI number?
MICHAEL B GOODWIN (LMSW)'s NPI is 1447635743 — the number used across U.S. healthcare to identify this provider.
Would MICHAEL B GOODWIN (LMSW) appear as active to a payer?
You can treat MICHAEL B GOODWIN (LMSW) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MICHAEL B GOODWIN (LMSW)?
MICHAEL B GOODWIN (LMSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MICHAEL B GOODWIN (LMSW)?
Directory geography for MICHAEL B GOODWIN (LMSW) centers on Southgate, Michigan.
Can I trust this NPI listing for MICHAEL B GOODWIN (LMSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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