REVITAL GOODMAN (LCSW) – Contractor, NPI 1629470620

REVITAL GOODMAN (LCSW) is a healthcare provider. based in Boca raton, Florida. specializing in Contractor. They hold the professional credentials LCSW. They hold a License No. SW 11854 (FL). The NPI Number for REVITAL GOODMAN (LCSW) is 1629470620

Main info

Female
Sole Proprietor
Name
REVITAL GOODMAN (LCSW)
NPI
1629470620
Phone
Not provided
Address
9858 GLADES RD # D3-218
Enumeration Date
22 September 2014
Last Update Date
22 September 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for REVITAL GOODMAN (LCSW)

  • 9858 GLADES RD # D3-218

    BOCA RATON, FL 334343983

    Phone:

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 33434)

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Reviews

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Frequently asked questions

How do payers reference REVITAL GOODMAN (LCSW)?
For REVITAL GOODMAN (LCSW), use NPI 1629470620 as the unique 10-digit identifier.
Active or inactive — what applies to REVITAL GOODMAN (LCSW)?
You should see REVITAL GOODMAN (LCSW) as active in CMS-hosted NPPES data.
What kind of doctor is REVITAL GOODMAN (LCSW)?
REVITAL GOODMAN (LCSW) is associated with Contractor in the directory — Clinical services aligned with this taxonomy classification.
Is REVITAL GOODMAN (LCSW) associated with Boca Raton?
Public fields place REVITAL GOODMAN (LCSW) around Boca Raton, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for REVITAL GOODMAN (LCSW) is noted as September 22, 2014 where the registry provides it.

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