Individual provider Active NPI

Haley M Goerke, LICSW

  • Clinical Social Worker
  • Pelham, AL
National Provider Identifier
1184245805
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5106C Issued in AL
Practice address
250B Yeager Pkwy
Pelham, AL 35124-1800
Phone
(938) 800-0698
NPI assigned
May 5, 2020
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5106C AL Primary

Addresses

Primary practice location

250B Yeager Pkwy
Pelham, AL 35124-1800

Mailing address

2220 Carmel Oak LN
Monroe, NC 28112-6500
Phone (256) 613-6902

Other practice location 1

100 Universal City Plz
Universal City, CA 91608-1002
Phone (256) 613-6902

Other practice location 2

3905 Hixson Pike Ste 103
Chattanooga, TN 37415-3569
Phone (423) 756-1506

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5106CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Staywell Counseling Clinical CurrentSince Apr 13, 2025 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince May 1, 2020 Accepting new patients
Memorial Health Partners Foundation Inc PastSince May 1, 2020 Accepting new patients

Locations

250B Yeager Pkwy
Pelham, AL 35124
Phone (256) 892-5203

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

3905 Hixson Pike
Ste 103
Chattanooga, TN 37415
Phone (423) 756-1506

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1184245805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CARMEL OAK LN",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126500",
            "telephone_number": "256-613-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250B YEAGER PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241800",
            "telephone_number": "938-800-0698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Universal City Plz",
            "address_purpose": "LOCATION",
            "city": "Universal City",
            "state": "CA",
            "postal_code": "916081002",
            "country_code": "US",
            "telephone_number": "256-613-6902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3905 Hixson Pike Ste 103",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374153569",
            "country_code": "US",
            "telephone_number": "423-756-1506",
            "fax_number": "423-756-1909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOERKE",
        "first_name": "HALEY",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5106C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.