Brittannie Drake Goodman, LCSW
Social Worker, Clinical in Canton, MS. Individual provider (NPI-1).
NPI number1831900133
StatusActive
Last updated in NPPESJan 15, 2025
Details
- NPI
- 1831900133
- Entity type
- Individual (NPI-1)
- Name
- Brittannie Drake Goodman
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2025
- Certification date
- Jan 15, 2025
- Last updated
- Jan 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C11415 | MS | Yes |
| 106H00000X | Marriage & Family Therapist | C11415 | MS | |
| 101YM0800X | Counselor, Mental Health | C11415 | MS |
Practice location
192 Harvey XingCanton, MS 39046-4523
Phone 662-436-7067
Mailing address
192 Harvey XingCanton, MS 39046-4523
Phone 662-436-7067
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Canton, MS
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- Dewanna ChamblissNPI 1770143745
- Phyllis T Hammond, MSSW, LCSWNPI 1639354418
- Margaret Regenia Johnson, LCSWNPI 1376355511
- Sharnese Mayfield, LCSWNPI 1184360695
- Amanda White, LCSWNPI 1497251953
- Melissa Williams, LCSWNPI 1558616433
All 8 Clinical Social Worker providers in Canton · All 404 providers in Canton
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