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MR. CEDRICK D GOODEN LCDCIII OCPS NPI 1841562949


NPI Information

NPI: 1841562949
Provider Name: MR. CEDRICK D GOODEN, LCDCIII, OCPS
Classification: Prevention Professional - 405300000X
Entity Type: Individual
Address:
601 CLEVELAND AVE NW
CANTON, OH
ZIP 44702
Phone: (330) 455-0374
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MR. Cedrick D Gooden, LCDCIII, OCPS is a prevention professional in Canton, OH. The provider is prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. MR. Cedrick D Gooden, LCDCIII, OCPS NPI is 1841562949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 CLEVELAND AVE NW
CANTON, OH
ZIP 44702-836
Phone: (330) 455-0374
Fax: (330) 453-6716

The enumeration date for this NPI number is 2/3/2012 and was last updated on 12/28/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)LCDCIII161791OHIONo
2405300000XPrevention ProfessionalOCPS4486OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10273389MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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