Active NPI
Shannon Michele Goodhue, LICSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1033461504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50078772
- Practice address
- 1629 K St NW Ste 300
Washington, DC 20006-1631 - Phone
- (473) 239-2050
- NPI assigned
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50078772 | DC | Primary |
Addresses
Primary practice location
1629 K St NW Ste 300
Washington, DC 20006-1631
Mailing address
244 14TH St SE
Washington, DC 20003-2367
Phone (347) 239-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50078772 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1033461504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 14TH ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032367",
"telephone_number": "347-239-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 K ST NW STE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061631",
"telephone_number": "473-239-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODHUE",
"first_name": "SHANNON",
"middle_name": "MICHELE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50078772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.