Amy Goffredo LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117465 Issued in MA

Legal business name

AMY GOFFREDO LLC

Practice address

1342 Belmont St
Suite 103
Brockton, MA 02301-4436

Phone

(508) 313-2082

Fax

(508) 313-2082

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Amy Patricia Goffredo, LICSW

Title

Clinical Social Worker

Phone

(508) 313-2082

Specialties & licenses 1

Addresses

Practitioners 1

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

• June Louise Chin, LICSW

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1154498764
  NPD (past)

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1225409253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 UNION ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561013",
            "telephone_number": "508-313-2082",
            "fax_number": "508-313-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 BELMONT ST",
            "address_2": "SUITE 103",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014436",
            "telephone_number": "508-313-2082",
            "fax_number": "508-313-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY GOFFREDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "GOFFREDO",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "508-313-2082",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Ames
• Tiffany Marie Ames, MA
• Soheil Amin-Hanjani, M.D.
• Waseem Amjad, MD
• Jan Amorello, NP
• Susan Anako, RN
• Analia Home Care HME
• Christian Ricky Anand, MD
• Nina Raquel Anastacio-Rawls
• Peter J Andersen, M.D.

• Clinical Social Worker in Brockton, MA
• Providers in Brockton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.