Individual provider Active NPI

Lee Ann Goeke, LCSW

  • Clinical Social Worker
  • Richmond, IN
National Provider Identifier
1174026686
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010821A Issued in IN
Practice address
520 S 9TH St
Richmond, IN 47374-6230
Phone
(765) 935-5390
NPI assigned
Mar 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X I.2304843 OH
Clinical Social Worker 1041C0700X 34010821A IN Primary

Addresses

Primary practice location

520 S 9TH St
Richmond, IN 47374-6230

Mailing address

520 S 9TH St
Richmond, IN 47374-6230
Phone (765) 935-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430002635 IN Practitioner - Clinical Social Worker 7416397021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2304843OHMDCounselor
34010821AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp CurrentSince Mar 25, 2024 Accepting new patients
Meridian Health Services Corp. CurrentSince Mar 25, 2024 Accepting new patients
Meridian Health Services Corp Past Accepting new patients

Locations

240 N Tillotson Ave
Muncie, IN 47304

520 S 9th St
Ste A
Richmond, IN 47374
Phone (765) 254-5347

520 S 9th St
Richmond, IN 47374
Phone (765) 935-5390

Interoperability endpoints

  • Direct secure messaging: leeann.goeke.p1@direct.meridianhs.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1174026686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S 9TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746230",
            "telephone_number": "765-935-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 9TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746230",
            "telephone_number": "765-935-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEKE",
        "first_name": "LEE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-10",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "I.2304843",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010821A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.