Sharon L Goedkoop, LICSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890001132 Issued in VT

Practice address

2458 Christian St
Suite 214
White River Junction, VT 05001-9855

Phone

(802) 359-2553

NPI assigned

Feb 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Sharon L. Goedkoop, PLLC

  • Clinical Social Worker
  • Wilder, VT
  • NPI 1942644216
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1013257484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842",
            "city": "WILDER",
            "state": "VT",
            "postal_code": "050880842",
            "telephone_number": "802-359-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 CHRISTIAN ST",
            "address_2": "SUITE 214",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050019855",
            "telephone_number": "802-359-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEDKOOP",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "LICSW, PLLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VT",
            "license": "0890001132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890001132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021546",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1013257484",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086010",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4583988",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Geiling, M.D.
• Kyle Gerst
• Gifford Health Care, Inc
• Jennifer Ann Girouard, C.R.T., R.R.T.
• Ellen Gnaedinger, DNP
• Good Neighbor Health Clinic
• Zachary Seth Goodman
• Robin Goodrich, RN
• Jill Gottehrer, OD
• Richard W Graham, M.D.

• Clinical Social Worker in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.