Sara Charles Goguen, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007672 Issued in NC

Practice address

2125 Southend Dr
Suite 452
Charlotte, NC 28203-5301

Phone

(704) 378-1390

Fax

(704) 378-1392

NPI assigned

Apr 20, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charlotte Center for Balanced Living, P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1720192107
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1003173659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 SURREYWOOD PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702157",
            "telephone_number": "704-378-1390",
            "fax_number": "704-378-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 SOUTHEND DR",
            "address_2": "SUITE 452",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035301",
            "telephone_number": "704-378-1390",
            "fax_number": "704-378-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGUEN",
        "first_name": "SARA",
        "middle_name": "CHARLES",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie D Goetz, PTA
• Melissa A. Goff, CCC-SLP
• Allie Caitlin Goforth, NP
• Dana Goforth, FNP
• Goggans Associates of North Carolina PC
• Darnell Dewayne Goines
• Amy Goins, M.S.OTR/L
• Wendell Aubrey Goins, MD
• Julianne T. Gold Brunson, PH.D.., HSP-P
• Gold Standard ABA LLC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.