Active NPI
Margaret G Goldkopf-Woodtke, LCSW
- Clinical Social Worker
- Manchester, CT
National Provider Identifier
1245317221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 002138
- Practice address
- 543 North Main St
Manchester, CT 06040 - Phone
- (860) 645-9468
- Fax
- (860) 649-6751
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 002138 | CT | Primary |
Addresses
Primary practice location
543 North Main St
Manchester, CT 06040
Mailing address
543 North Main St
Manchester, CT 06040
Phone (860) 645-9468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004180288 | Medicaid | CT |
Other names 1
- Ms. Margaret M Goldkopf
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 |
|---|---|---|---|
| 002138 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1245317221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 NORTH MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "06040",
"telephone_number": "860-645-9468",
"fax_number": "860-649-6751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 NORTH MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "06040",
"telephone_number": "860-645-9468",
"fax_number": "860-649-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDKOPF-WOODTKE",
"first_name": "MARGARET",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "002138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004180288",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARGARET",
"last_name": "GOLDKOPF",
"middle_name": "M",
"prefix": "MS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.