Active NPI
Opal Celeste Goodwin
- Clinical Social Worker
- Prairieville, LA
National Provider Identifier
1225893340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16623
- Practice address
- 38261 Brown Rd
Prairieville, LA 70769-3905 - Phone
- (225) 955-2770
- NPI assigned
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 259908 | KY | |
| Clinical Social Worker | 1041C0700X | 5711C | AL | |
| Clinical Social Worker | 1041C0700X | 16623 | LA | Primary |
Addresses
Primary practice location
38261 Brown Rd
Prairieville, LA 70769-3905
Mailing address
38261 Brown Rd
Prairieville, LA 70769-3905
Phone (225) 955-2770
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5711C | AL | MD | Clinical Social Worker |
| 259908 | KY | MD | Clinical Social Worker |
| 16623 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opal Goodwin, LCSW, LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Prairieville, LA
- NPI 1376301804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1225893340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38261 BROWN RD",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707693905",
"telephone_number": "225-955-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38261 BROWN RD",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707693905",
"telephone_number": "225-955-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "OPAL",
"middle_name": "CELESTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2025-01-06",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "259908",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "5711C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "16623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.