Rachael Goff
Individual provider Active NPI Clinical Social Worker · Vine Grove, KY
NPI 1154859080 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1154859080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 259207 (KY)
- Practice address
- 108 Winery CT Apt 1
Vine Grove, KY 40175-8465 - Phone
- (845) 531-1513
- NPI assigned
- May 23, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259207 | KY | MD | Clinical Social Worker |
| 097624 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Home of Jefferson County | Past |
Accepting new patients | |
| Children'S Home of Jefferson County | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 097624 | NY | |
| Clinical Social Worker | 1041C0700X | 259207 | KY | Yes |
Addresses
Primary practice location
108 Winery CT Apt 1
Vine Grove, KY 40175-8465
Mailing address
108 Winery CT Apt 1
Vine Grove, KY 40175-8465
Phone (845) 531-1513
Other providers in Vine Grove, KY
- Soun Dai
- Andrea D Davis
- Megan Ivonnava Chucuen Evans
- First Words Speech Therapy LLC
- Robin Michele Flowers
- Good Life Advocates, LLC
- Alyssa Hack
- Hope Hendrix
- Christine Ellen Renee Horner
- Ashley Anne Hulsman Gaither
All providers in Vine Grove, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.