Individual provider Active NPI

Dara Goodwin-Downs

  • Clinical Social Worker
  • Hilo, HI
National Provider Identifier
1043846918
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-0445 Issued in NM
Practice address
248 Alawaena St
Hilo, HI 96720-3551
Phone
(703) 338-8369
NPI assigned
Mar 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X SWB-2023-0445 NM Primary

Addresses

Primary practice location

248 Alawaena St
Hilo, HI 96720-3551

Mailing address

2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone (052) 162-7275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20241004003366 NM Practitioner - Clinical Social Worker 3971943721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Teambuilders Behavioral Health LLCGroup PAC ID 5294126629, 19 clinicians

Practice addresses (Care Compare)

2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone (505) 216-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teambuilders Behavioral Health, LLC Clinical CurrentSince Jul 25, 2024 Accepting new patients
Unearth Therapy, LLC Clinical Current Accepting new patients
Teambuilders Behavioral Health, LLC CurrentSince Jul 25, 2024 Accepting new patients

Locations

2504 Camino Entrada
Santa Fe, NM 87507
Phone (505) 216-2727

501 S 4th St
Santa Rosa, NM 88435
Phone (575) 472-0745

105 Paseo del Canon W
Taos, NM 87571
Phone (575) 751-7037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1043846918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074851",
            "telephone_number": "052-162-7275",
            "fax_number": "505-365-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 ALAWAENA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203551",
            "telephone_number": "703-338-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN-DOWNS",
        "first_name": "DARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.