Active NPI
Michelle Goodman
- Social Worker
- Scottsdale, AZ
National Provider Identifier
1083324933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4300 N Miller Rd Ste 133
Scottsdale, AZ 85251-3620 - Phone
- (480) 699-8109
- NPI assigned
- Dec 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4300 N Miller Rd Ste 133
Scottsdale, AZ 85251-3620
Mailing address
4300 N Miller Rd Ste 133
Scottsdale, AZ 85251-3620
Phone (480) 463-4197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685145600000",
"number": "1083324933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 N MILLER RD STE 133",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513620",
"telephone_number": "480-463-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N MILLER RD STE 133",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513620",
"telephone_number": "480-699-8109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-01",
"last_updated": "2023-05-27",
"certification_date": "2023-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.