Koby W Gooden, LCSW
Social Worker, Clinical in Fort Bliss, TX. Individual provider (NPI-1).
NPI number1841921988
StatusActive
Last updated in NPPESNov 20, 2025
Details
- NPI
- 1841921988
- Entity type
- Individual (NPI-1)
- Name
- Koby W Gooden
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2022
- Certification date
- Nov 20, 2025
- Last updated
- Nov 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2024034604 | MO | Yes |
Practice location
18511 Highlander Medics StFort Bliss, TX 79906-5327
Phone 915-742-3004
Mailing address
18511 Highlander Medics StFort Bliss, TX 79906-5327
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All 25 Clinical Social Worker providers in Fort Bliss · All 580 providers in Fort Bliss
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