Jomie Goerge, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JOMIE GOERGE, LLC

Practice address

1818 W Centre Ave
Portage, MI 49024-5332

Phone

(269) 377-4850

NPI assigned

Apr 7, 2022

Organization subpart

No

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

Authorized official

Name

Jomarie Goerge, LMSWNPI 1457657884

Title

Owner

Phone

(269) 492-6473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jomarie Goerge, LMSW

  • Clinical Social Worker
  • Portage, MI
  • NPI 1457657884
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1063153484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9523 W RS AVE",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "490878428",
            "telephone_number": "269-492-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245332",
            "telephone_number": "269-377-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOMIE GOERGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "GOERGE",
        "authorized_official_first_name": "JOMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-492-6473",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson Family Dentistry
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• Elizabeth Johnson
• Raphael David Johnson, MA, LLC
• Amanda Jones, LMSW
• Ja'Nae Jones, LLPC
• Karina Jones
• Natanya Marie Jones
• Ryan Timothy Jones, D.O.

• Clinical Social Worker in Portage, MI
• Providers in Portage, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.