IndividualActive
Revital Goodman, LCSW
NPI 1629470620 · Contractor · Boca Raton, FL
Provider details
- NPI number
- 1629470620
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW 11854 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9858 Glades Rd # D3-218
Boca Raton, FL 33434-3983
Phone: (323) 770-4777
Street-level locationGet directions
Mailing address
9858 Glades Rd # D3-218
Boca Raton, FL 33434-3983
Registry dates
- Enumerated
- 2014-09-22
- Last updated
- 2014-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.