Amy Park-Goeddeke,LMSW, L.L.C

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AMY PARK-GOEDDEKE,LMSW, L.L.C

Practice address

1200 N Telegraph Rd Dept 32
Pontiac, MI 48341-1032

Phone

(248) 858-1210

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Amy Park-Goeddeke, LMSWNPI 1417097700

Title

Social Worker

Phone

(248) 921-7649

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Elizabeth Park-Goeddeke, LMSW

  • Clinical Social Worker
  • Sterling Heights, MI
  • NPI 1417097700
  NPD Authorized official

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1124681341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 15 MILE RD # 258",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124271",
            "telephone_number": "248-921-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TELEGRAPH RD DEPT 32",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411032",
            "telephone_number": "248-858-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY PARK-GOEDDEKE,LMSW, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "PARK-GOEDDEKE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "248-921-7649",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amy.parkg@outlook.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XLS",
            "address_1": "13335 15 mile Rd",
            "address_2": "#258",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483124271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• American Current Care of Michigan PC
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• American Medical Services
• Arezo Amirikia, M.D.
• Amt Homecare LLC
• Maria Adriana Anders, D.O.
• Anita T Anderson, LMSW
• Kyannah Toyann Anderson
• Lisa Elaine Anderson
• Nathan D Anderson, AAS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.