Michelle Antoinette Goines, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23409 Issued in MD

Practice address

1522 N Ellamont St
Baltimore, MD 21216

Phone

(410) 419-9823

NPI assigned

Jan 7, 2019

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Compass Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, MD
  • NPI 1164003042
  Medicare reassignment NPD
• Optimum Health Systems, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Baltimore, MD
  • NPI 1679512073
  Medicare reassignment NPD

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1003389602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 N ELLAMONT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212163817",
            "telephone_number": "410-419-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 N ELLAMONT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21216",
            "telephone_number": "410-419-9823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5338 Wyndholme Cir Unit 3",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212293368",
            "country_code": "US",
            "telephone_number": "410-419-9823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOINES",
        "first_name": "MICHELLE",
        "middle_name": "ANTOINETTE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve B Gogerdchi, O.D.
• Bernadette Anne Marie Goggins, M.D.
• Michael Gilbert Goggins, M.D.
• Arundhati Gogineni, PHD
• Lindsay Blake Goicochea, M.D.
• Shawnette T Goines, NURSE PRACTITIONER
• Tyies Alexander Goines, MSN, PMHNP-BC
• Going to Thrive LLC
• Lauren Going, LCSW-C
• Elizabeth E Goins, CRNA

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.