Goodwill Industries of Kanawha Valley

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

GOODWILL INDUSTRIES OF KANAWHA VALLEY

Practice address

209 Virginia St W
Charleston, WV 25302-2210

Phone

(304) 346-0811

NPI assigned

Jul 24, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer L Logan

Title

Dir. Employment, Education & Train

Phone

(304) 346-0811

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1083814388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 VIRGINIA ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 VIRGINIA ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022210",
            "telephone_number": "304-346-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF KANAWHA VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIR. EMPLOYMENT, EDUCATION & TRAIN",
        "authorized_official_telephone_number": "304-346-0811"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Bryant Cole Goode
• Shannon Gooden
• Floyd E Goodman Jr.
• Courtney Goodnight
• Teresa Marie Goodson, FNP-C
• Gary Wayne Goodwin
• Megan Goodwin, DO
• Roger Goodwin
• Ebony Goodwine
• Jaime G. Gorby, M.A., CCC-A

• Case Manager/Care Coordinator in Charleston, WV
• Providers in Charleston, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.