Individual provider Active NPI

George Thomas Goike Jr., LMSW

  • Social Worker
  • Royal Oak, MI
National Provider Identifier
1215048897
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801021238 Issued in MI
Practice address
27172 Woodward Ave
#200
Royal Oak, MI 48067-0963
Phone
(248) 546-0407
Fax
(248) 548-1925
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801021238 MI Primary

Addresses

Primary practice location

27172 Woodward Ave
#200
Royal Oak, MI 48067-0963

Mailing address

27172 Woodward Ave
Suite 200
Royal Oak, MI 48067-0963
Phone (248) 546-0407

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

State licenses

LicenseStateTypeSpecialty
6801021238MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1215048897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27172 WOODWARD AVE",
            "address_2": "SUITE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670963",
            "telephone_number": "248-546-0407",
            "fax_number": "248-548-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27172 WOODWARD AVE",
            "address_2": "#200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670963",
            "telephone_number": "248-546-0407",
            "fax_number": "248-548-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOIKE",
        "first_name": "GEORGE",
        "middle_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801021238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.