Peyton Renee Goodwin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34011098A Issued in IN

Practice address

1210 N 1000 W
Linton, IN 47441-5013

Phone

(812) 847-4481

Fax

(844) 658-7526

NPI assigned

Jun 24, 2020

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: peyton.goodwin.1@17971.direct.athenahealth.com

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.

• Greene County General Hospital

  dba My Bloomfield Clinic

  • Rural Health Clinic/Center
  • Bloomfield, IN
  • NPI 1821585563

  Clinical

  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1053937169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415282",
            "telephone_number": "812-847-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415013",
            "telephone_number": "812-847-4481",
            "fax_number": "844-658-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "PEYTON",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011098A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Isabel Garnica-Gentry, PHYSICAL THERAPIST
• Felicitas Z Gatchalian, MD
• Theresa Sue Gilbert, FNP
• Trevor Brandon Gilbert, D.C.
• Barrette Jessica Goodman, PTA
• Greene County General Hospital
• Greene County General Hospital
• Greene County General Hospital
• Greene County General Hospital (My Linton Clinic)
• Greene County General Hospital

• Clinical Social Worker in Linton, IN
• Providers in Linton, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.