Active NPIIndividual providerSole proprietor

Patricia Gardner-Goodof, LICSW

Social Worker, Clinical in Marblehead, Massachusetts

NPI Number1558381517
Practice location
1 Pleasant Ln, Marblehead, MA 01945-2341
Fax
—
Last updated
July 8, 2007

Patricia Gardner-Goodof is a Social Worker, Clinical based in Marblehead, MA. Patricia Gardner-Goodof practices in Marblehead, MA and has the professional credentials of LICSW. The NPI Number for Patricia Gardner-Goodof is 1558381517 and holds a License No. 1022482 (MA). The current practice location address for Patricia Gardner-Goodof is 1 Pleasant Ln, Marblehead, MA 01945-2341 and can be reached out via phone at 781-631-2666.

Provider Profile Details

NPI Number
1558381517
Provider Name
Patricia Gardner-Goodof
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1 Pleasant Ln, Marblehead, MA 01945-2341
Phone Number
781-631-2666
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Pleasant Ln
Marblehead, MA 01945-2341
Zip
01945-2341
Phone Number
781-631-2666
Marblehead, MA 01945Get directions →

Provider Business Mailing Address Details

Address
95 Clifton Ave
Marblehead, MA 01945-1717
City
Marblehead
State
MA
Zip
01945-1717
Phone Number
781-639-1193

License Information

License Number
1022482
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Patricia Gardner-Goodof, LICSW?

The NPI number of Patricia Gardner-Goodof, LICSW is 1558381517. It was assigned on July 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Patricia Gardner-Goodof, LICSW?

Patricia Gardner-Goodof, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1022482.

Where does Patricia Gardner-Goodof, LICSW practice?

The practice location is 1 Pleasant Ln, Marblehead, MA 01945-2341. The office can be reached at 781-631-2666 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558381517 directly on the NPPES registry website.

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