Sharon G Goudeau-Goodall

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25273 Issued in CA

Practice address

2291 Channing CT
Fairfield, CA 94533-2623

Phone

(707) 712-6887

NPI assigned

Aug 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1093232498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 CHANNING CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945332623",
            "telephone_number": "707-712-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 CHANNING CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945332623",
            "telephone_number": "707-712-6887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60MDG Family Health",
            "address_2": "101 Bodin Circle",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945351800",
            "country_code": "US",
            "telephone_number": "707-712-6887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUDEAU-GOODALL",
        "first_name": "SHARON",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Allison Gordon, PHARM.D.
• Lora Lynne Gordon, CADC II
• Jerry Andrew Gorman, MSW
• Haley Dawn Gosvener
• Steven T. Gotanda, MD
• Fredric Gough, MD
• Heather Robyn Gough, MSW, JD
• Richard B Gould, M.D.
• Gracious Touch Home Health Care
• Alisha Graham

• Clinical Social Worker in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.