Cara E Goedeker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73082734 Issued in NY

Practice address

1400 Noyes St
- York Street
Utica, NY 13502-3854

Phone

(315) 738-4440

Fax

(315) 738-4410

NPI assigned

Apr 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1205193869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NOYES ST",
            "address_2": "- YORK STREET",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023854",
            "telephone_number": "315-738-4440",
            "fax_number": "315-738-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NOYES ST",
            "address_2": "- YORK STREET",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023854",
            "telephone_number": "315-738-4440",
            "fax_number": "315-738-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEDEKER",
        "first_name": "CARA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73082734",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72082268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY NPI",
            "identifier": "1295175867",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Giuliano
• Siverjona Gjordeni, MD
• Anthony Gobbo, MD
• Ewa Godecki, D.M.D.
• Mark A Godecki, M.D.
• Hanan Goldberg, MD
• James Samuel Goldstein I, LMFT
• Audreyonna Goodison
• Margaret Goodman, MD
• Joshua W Goodson, RN

• Clinical Social Worker in Utica, NY
• Providers in Utica, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.