Diane Prince Goula, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW-0395 Issued in AZ

Practice address

15020 N Hayden Rd Ste 202
Scottsdale, AZ 85260-2552

Phone

(480) 991-0296

Fax

(480) 991-0129

NPI assigned

Oct 26, 2006

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104901073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 N 102ND PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607295",
            "telephone_number": "480-391-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15020 N HAYDEN RD STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602552",
            "telephone_number": "480-991-0296",
            "fax_number": "480-991-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULA",
        "first_name": "DIANE",
        "middle_name": "PRINCE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "SW-0395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bruce Gotway, MD
• Kemma Grace Goudreau, PT, DPT
• Gough Hip and Knee
• Gough Surgical PLLC
• Brandon Edwin Gough, M.D.
• Debra Sue Goulding, FNP
• Krista Anne Goulding, M.D.
• Marguerite Breanne Gourley, LMSW
• Rohit Goyal, MD
• Ashu Kumar Goyle, DO

• Clinical Social Worker in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.