Katherine Elizabeth Goemaat-Suarez, LCSW
Individual provider Active NPI Clinical Social Worker · Newark, DE
NPI 1083370068 · NPPES record last updated Nov 23, 2021
Key facts
- NPI
- 1083370068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- Q-0011971 (DE)
- Practice address
- 4745 Ogletown Stanton Rd Ste 237
Newark, DE 19713-2074 - Phone
- (302) 468-9765
- NPI assigned
- Nov 13, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q-0011971 | DE | MD | Clinical Social Worker |
| 29010 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beech Tree Counseling LLC | Clinical | Current |
Accepting new patients |
| Christiana Care Health Services, Inc | Past | Accepting new patients | |
| Christiana Care Health Services Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Q-0011971 | DE | Yes |
Addresses
Primary practice location
4745 Ogletown Stanton Rd Ste 237
Newark, DE 19713-2074
Mailing address
154 Aintree LN
Hockessin, DE 19707-1811
Phone (302) 468-9765
Other providers in Newark, DE
- God Gift Non-Emergency Medical Transportation LLC
- Linnea Goddess
- Kathryn Margaret Godfrey
- Joseph Edward Godovchik
- Matthew R Godwin
- Cora M Goldberg
- Rachel Goldberg
- Scot E. Goldberg
- Shayna Goldblatt
- Benjamin Golden
All providers in Newark, DE · Clinical Social Worker in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.