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Active NPI 1629470620 Individual Practitioner Female Practitioner

Revital Goodman , LCSW

Contractor • Boca Raton, FL

Professional Overview & Biography Verified Profile Summary

Revital Goodman, LCSW is a registered healthcare professional specializing in Contractor in Boca Raton, FL. Practice services are available at 9858 GLADES RD # D3-218 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9858 Glades Rd # D3-218

Boca Raton, FL 334343983

Telephone 3237704777

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Boca Raton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Boca Raton, FL (793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License FL SW 11854

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active September 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2014

Registered at 9858 GLADES RD # D3-218, BOCA RATON, FL 334343983 (Tel: 3237704777)

📍
Updated Business Mailing Address September 22, 2014

Registered at 9858 GLADES RD # D3-218, BOCA RATON, FL 334343983

👤
Provider Name / Credentials Updated September 22, 2014

Recorded as REVITAL GOODMAN, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2014

Contractor (License #SW 11854 in FL)

🟢
Initial NPI Registration & Enumeration September 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629470620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2014
Last Update: September 22, 2014
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

9858 Glades Rd # D3-218

Boca Raton, FL 334343983

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.