Individual provider Active NPI

Jill Goff

  • Social Worker
  • Columbus, OH
National Provider Identifier
1083486443
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2309878 Issued in OH
Practice address
4770 Indianola Ave Ste 107
Columbus, OH 43214-1862
Phone
(614) 371-2303
NPI assigned
Oct 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2309878 OH Primary

Addresses

Primary practice location

4770 Indianola Ave Ste 107
Columbus, OH 43214-1862

Mailing address

4770 Indianola Ave Ste 107
Columbus, OH 43214-1862
Phone (614) 371-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260514004066 OH Practitioner - Clinical Social Worker 8325517733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4770 Indianola Ave
Suite 200
Columbus, OH 43214-1861

4938 Glenridge Cir NE
Canton, OH 44714-1135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2309878OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Wellness Solutions LLC CurrentSince Oct 29, 2023 Accepting new patients
Holistic Wellness Solutions LLC CurrentSince Oct 29, 2023 Accepting new patients

Locations

4770 Indianola Ave
Ste 107
Columbus, OH 43214
Phone (614) 371-2303

Organizations & group practices 3

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": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1083486443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 INDIANOLA AVE STE 107",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141862",
            "telephone_number": "614-371-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 INDIANOLA AVE STE 107",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141862",
            "telephone_number": "614-371-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2309878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.