Jeanne Marie Goetz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1699 Issued in OR

Practice address

1815 SW Marlow Ave
Suite 208
Portland, OR 97225-5185

Phone

(503) 297-7979

Fax

(503) 297-7980

NPI assigned

Sep 10, 2008

Last updated

Sep 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Christopher Huffine PSYD

  dba Allies In Change Counseling Center

  • Mental Health Counselor
  • Portland, OR
  • NPI 1235331737
  NPD (past)

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1215186549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12758 SW 114TH TER",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234063",
            "telephone_number": "503-590-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SW MARLOW AVE",
            "address_2": "SUITE 208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255185",
            "telephone_number": "503-297-7979",
            "fax_number": "503-297-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Julia Goesling
• Martha Frances Goetsch, MD,MPH
• Brooke Nicole Goette
• Stephanie Goettl, MS, CGC
• Heidi Goetz, MD
• Jessica Eden Goetz
• Amelia Goff, FNP
• Brian Craig Goff, PH.D.
• Emily Rebecca Goff, DMD
• Jana Balas Goff, DPM

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.