Jacqueline S Goodall, LICSW
Social Worker, Clinical in Burlington, Vermont
1801256730- Practice location
- 1138 Pine St, Burlington, VT 05401-5353
- Phone
- 802-488-6600
- Fax
- —
- Last updated
- December 12, 2023
Jacqueline Shea Goodall is a Social Worker, Clinical based in Burlington, VT. Jacqueline Shea Goodall practices in Burlington, VT and has the professional credentials of LICSW. The NPI Number for Jacqueline Shea Goodall is 1801256730 and holds a License No. 089-0111089 (VT). The current practice location address for Jacqueline Shea Goodall is 1138 Pine St, Burlington, VT 05401-5353 and can be reached out via phone at 802-488-6600.
Provider Profile Details
- NPI Number
- 1801256730
- Provider Name
- Jacqueline Shea Goodall
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1138 Pine St, Burlington, VT 05401-5353
- Phone Number
- 802-488-6600
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Other Names
- Jacquie Goodall (Professional Name)
- Provider Enumeration Date
- March 4, 2016
- Last Update Date
- December 12, 2023
- Certification Date
- December 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1138 Pine St
Burlington, VT 05401-5353 - City
- Burlington
- State
- Vermont
- Zip
- 05401-5353
- Phone Number
- 802-488-6600
Provider Business Mailing Address Details
- Address
- 208 Flynn Ave
Suite 3J
Burlington, VT 05401-5429 - City
- Burlington
- State
- VT
- Zip
- 05401-5429
License Information
- License Number
- 089-0111089
- License State
- VT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jacqueline S Goodall, LICSW?
The NPI number of Jacqueline S Goodall, LICSW is 1801256730. It was assigned on March 4, 2016 and is currently active in the NPPES registry.
What is the specialty of Jacqueline S Goodall, LICSW?
Jacqueline S Goodall, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089-0111089.
Where does Jacqueline S Goodall, LICSW practice?
The practice location is 1138 Pine St, Burlington, VT 05401-5353. The office can be reached at 802-488-6600 (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 1801256730 directly on the NPPES registry website.