Provider Demographics
NPI:1053298562
Name:GOODMAN, MARGARET AHERN (LCSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:AHERN
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:AHERN
Other - Last Name:GOODMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1614 PENFIELD RD STE 2
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2390
Mailing Address - Country:US
Mailing Address - Phone:585-310-1715
Mailing Address - Fax:
Practice Address - Street 1:95 ALLENS CREEK RD STE 254
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3254
Practice Address - Country:US
Practice Address - Phone:585-310-1715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY097603-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical