Provider Demographics
NPI:1780569749
Name:GOODE, BRADY MARGARET (LLMSW)
Entity type:Individual
Prefix:
First Name:BRADY
Middle Name:MARGARET
Last Name:GOODE
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:BRADY
Other - Middle Name:MARGARET
Other - Last Name:SAENZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LLMSW
Mailing Address - Street 1:19425 HARDY ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1561
Mailing Address - Country:US
Mailing Address - Phone:313-492-1756
Mailing Address - Fax:
Practice Address - Street 1:279 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-3364
Practice Address - Country:US
Practice Address - Phone:248-745-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker