Individual ProviderPeggy GoodmanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7282 Stinson Ave Ste B, Gig Harbor, WA 98335-4930(253) 858-5846PECOS EnrollmentBased on the most recent information from CMS, provider Peggy Goodman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1124631262Provider TypeIndividualFull NameGoodman, PeggyGenderFemaleSole ProprietorNoEnumeration Date8/28/2020Last Updated8/28/2020Contact InformationPractice LocationPractice Address7282 Stinson Ave Ste B, Gig Harbor, WA 98335-4930Phone(253) 858-5846FaxUnlisted FaxMailing LocationMailing Address7282 Stinson Ave Ste B, Gig Harbor, WA 98335-4930PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW61100775WashingtonCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer