Individual provider Active NPI

Laura Gooding, LCSW

  • Clinical Social Worker
  • Clearwater, FL
National Provider Identifier
1063907335
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15496 Issued in FL
Practice address
51 S Main Ave Ste 304
Clearwater, FL 33765-3937
Phone
(727) 222-3032
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 SW15496 FL Primary

Addresses

Primary practice location

51 S Main Ave Ste 304
Clearwater, FL 33765-3937

Mailing address

4650 43Rd PL N
St Petersburg, FL 33714-3420
Phone (941) 400-7879

Other practice location 1

9070 Kimberly Blvd Ste 50
Boca Raton, FL 33434-2861
Phone (561) 852-0910

Other names 1

  • Laura Lee Knipper Former name

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW15496FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunlit Path Therapy CurrentSince May 14, 2023 Accepting new patients

Locations

51 S Main Ave
Ste 304
Clearwater, FL 33765
Phone (727) 784-8244

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1063907335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 43RD PL N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337143420",
            "telephone_number": "941-400-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S MAIN AVE STE 304",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653937",
            "telephone_number": "727-222-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9070 Kimberly Blvd Ste 50",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334342861",
            "country_code": "US",
            "telephone_number": "561-852-0910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODING",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KNIPPER",
            "middle_name": "LEE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.