Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHELLY GOSCHA, LICENSED CLINICAL SOCIAL WORKER, PSYCHOTHERAPY SERVIC

Practice address

5170 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9608

Phone

(785) 766-1885

Fax

(916) 235-5843

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Shelly Sue Goscha, LCSWNPI 1750711719

Title

Owner/President

Phone

(785) 766-1885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelly Sue Goscha, LCSW

  • Clinical Social Worker
  • El Dorado Hills, CA
  • NPI 1750711719
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1215530167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 GOLDEN FOOTHILL PKWY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629608",
            "telephone_number": "785-766-1885",
            "fax_number": "916-235-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 GOLDEN FOOTHILL PKWY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629608",
            "telephone_number": "785-766-1885",
            "fax_number": "916-235-5843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Ashland Ct",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956827661",
            "country_code": "US",
            "telephone_number": "785-766-1885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHELLY GOSCHA, LICENSED CLINICAL SOCIAL WORKER, PSYCHOTHERAPY SERVIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "GOSCHA",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "785-766-1885",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Sevy, RT(R)
• Tamour Shahid
• Shelly Sharma
• Shannon Shaw
• Destiny Shearer-Heihn
• Sarah Sheridan
• Riley Shill, PT, DPT
• Jourdin Shiloh
• Maria Michele Shimizu, NURSE PRACTITIONER
• Anne Shin, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.