NPI 1053660803

Noah Jacobson-Goodhue, LICSW

Practitioner Clinical Social Worker Lebanon, NH

Practice location

Address: 20 W Park St STE 426, Lebanon, NH 03766-1378
Phone: (802) 299-0451
Mailing address: PO Box 249, Hartland, VT 05048-0249

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089-0001204 (VT)

Other Social Worker providers in New Hampshire →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 2211 (NH)

Registry record

NPI: 1053660803
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Sep 2012
Record last updated: 25 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.