Active NPI
Cheryl Abel Goodwin, LMSW
- Clinical Social Worker
- West Bloomfield, MI
National Provider Identifier
1053888156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 68010199029
- Practice address
- 6960 Orchard Lake Rd Ste 100
West Bloomfield, MI 48322-4523 - Phone
- (248) 626-1500
- Fax
- (248) 626-1551
- NPI assigned
- Oct 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 6801019029 | MI | |
| Clinical Social Worker | 1041C0700X | 68010199029 | MI | Primary |
Addresses
Primary practice location
6960 Orchard Lake Rd Ste 100
West Bloomfield, MI 48322-4523
Mailing address
3292 Green Oak Dr
Commerce TWP, MI 48390-1614
Phone (248) 892-2403
Other names 1
- Mrs. Cheryl A Goodwin PC
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Wayne State University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6960 Orchard Lake Rd
Suite 240
West Bloomfield, MI 48322-4519
Phone (248) 626-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801019029 | MI | MD | Clinical Social Worker |
| 68010199029 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Associates, Incorporated | Multi-Specialty | Past | Accepting new patients |
| Carol a. Roekle, M.D., P.C. | Multi-Specialty | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- West Bloomfield, MI
- NPI 1629069471
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Farmington Hills, MI
- NPI 1659419257
Multi-Specialty
-
- Social Worker
- West Bloomfield, MI
- NPI 1356716559
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1053888156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3292 GREEN OAK DR",
"city": "COMMERCE TWP",
"state": "MI",
"postal_code": "483901614",
"telephone_number": "248-892-2403",
"fax_number": "248-626-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6960 ORCHARD LAKE RD STE 100",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224523",
"telephone_number": "248-626-1500",
"fax_number": "248-626-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "CHERYL",
"middle_name": "ABEL",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801019029",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "68010199029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "GOODWIN PC",
"middle_name": "A",
"prefix": "MRS.",
"credential": "LMSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.