Individual provider Active NPI

Lauren Marie Good, MSW, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1164753299
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009823 Issued in VA
Practice address
325 Four Leaf LN Ste 12
Charlottesville, VA 22903-9203
Phone
(434) 466-1588
Fax
(434) 823-1174
NPI assigned
Jan 29, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009072 NC
Clinical Social Worker 1041C0700X 0904009823 VA Primary

Addresses

Primary practice location

325 Four Leaf LN Ste 12
Charlottesville, VA 22903-9203

Mailing address

PO Box 71776
Henrico, VA 23255-1776
Phone (434) 466-1588

Other practice location 1

2732 Ann Elizabeth Dr
Burlington, NC 27215-5111
Phone (336) 223-8414

Other practice location 2

2732 Ann Elizabeth Dr
Burlington, NC 27215-5111
Phone (336) 223-8414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164753299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71776",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232551776",
            "telephone_number": "434-466-1588",
            "fax_number": "434-823-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 FOUR LEAF LN STE 12",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229039203",
            "telephone_number": "434-466-1588",
            "fax_number": "434-823-1174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2732 Ann Elizabeth Dr",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272155111",
            "country_code": "US",
            "telephone_number": "336-223-8414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2732 Ann Elizabeth Dr",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272155111",
            "country_code": "US",
            "telephone_number": "336-223-8414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOD",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009072",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.