Individual provider Active NPI

Sarah Goodell, LMSW

  • Clinical Social Worker
  • Brooklyn, MI
National Provider Identifier
1053777623
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099866 Issued in MI
Practice address
176 South Main St.
Brooklyn, MI 49230
Phone
(517) 550-5423
NPI assigned
Jan 12, 2016
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801099866 MI Primary

Addresses

Primary practice location

176 South Main St.
Brooklyn, MI 49230

Mailing address

176 South Main St.
Brooklyn, MI 49230-9335
Phone (517) 550-5423

Other practice location 1

142 E Maumee St Ste 3
Adrian, MI 49221-2735
Phone (517) 263-5810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190709000773 MI Practitioner - Clinical Social Worker 3173858446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Giving Tree Therapy PLLCGroup PAC ID 6103261748, 3 clinicians

Practice addresses (Care Compare)

176 S Main St
Brooklyn, MI 49230-0279
Phone (517) 550-5423

PO Box
Suite 279
Brooklyn, MI 49230-0279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801099866MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Giving Tree Therapy PLLC Clinical CurrentSince Oct 23, 2023 Accepting new patients
Acpc PLLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

142 E Maumee St
Ste 3
Adrian, MI 49221
Phone (517) 263-5810

176 S Main St
Brooklyn, MI 49230
Phone (517) 474-0628

176 S Main St
Brooklyn, MI 49230
Phone (517) 550-5423

Interoperability endpoints

  • Direct secure messaging: adriancounselingandpsychiatricclinic.sarahgoodell@153442.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1053777623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 SOUTH MAIN ST.",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309335",
            "telephone_number": "517-550-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 SOUTH MAIN ST.",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "49230",
            "telephone_number": "517-550-5423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 E Maumee St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492212735",
            "country_code": "US",
            "telephone_number": "517-263-5810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODELL",
        "first_name": "SARAH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2024-06-24",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MI

Sources for this page

Verify at the official NPI Registry.