Active NPI
Claudia N Goodall, LCSW
- Clinical Social Worker
- Dumfries, VA
National Provider Identifier
1053581173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006444
- Practice address
- 3700 Fettler Park Dr
Dumfries, VA 22025-2050 - Phone
- (703) 441-7570
- NPI assigned
- Mar 4, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 0904006444 | VA | Primary |
Addresses
Primary practice location
3700 Fettler Park Dr
Dumfries, VA 22025-2050
Mailing address
3700 Fettler Park Dr
Dumfries, VA 22025-2050
Phone (703) 441-7570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Medicaid | DC |
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 |
|---|---|---|---|
| 0904006444 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1053581173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220252050",
"telephone_number": "703-441-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220252050",
"telephone_number": "703-441-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODALL",
"first_name": "CLAUDIA",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-04",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dumfries, VA
- Gilead Healthcare Services, LLC
- Don A. Gizzi, RPH
- Shailesh K Gohel, M.D.
- Kerrie Jean Golden, DPT
- Sarah Jaquelyn Gonzalez, LCSW
- Amy Nicole Goodwine, AU.D.
- Got Your Six Counseling Services, PLLC
- Zanya Dinelle Graham, CPNP
- Greater Impact Health Care, LLC
- Greater Prince William Area Community Health Center Inc (Greater Prince William Community Health Center Dumfries)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.