Carmeline Goodwin, LSCSW, LCSW, RPT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

#4342 Issued in KS

Practice address

6811 Shawnee Mission Pkwy Ste 310
Overland Park, KS 66202-4088

Phone

(913) 544-9285

Fax

(913) 229-7511

NPI assigned

Apr 18, 2017

Last updated

Apr 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Creative Connections, LLC

  • Mental Health Counselor
  • Overland Park, KS
  • NPI 1033584784
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1245764067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 SHAWNEE MISSION PKWY STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024088",
            "telephone_number": "913-544-9285",
            "fax_number": "913-229-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 SHAWNEE MISSION PKWY STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024088",
            "telephone_number": "913-544-9285",
            "fax_number": "913-229-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "CARMELINE",
        "credential": "LSCSW, LCSW, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "#4342",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2014022969",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "27484203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Life Lactation LLC
• Jessica Goodman
• Molly Madsen Goodman
• Jennifer Marie Goodrich, M.A. CCC-SLP
• William Hammack Goodson IV, M.D.
• Jessica Goodwin
• Ashly Goodyear
• Margaret Elizabeth Goossen, FNP-C
• Rakesh Gopinathannair, M.D., M.A.
• Bret S Gordon, D.O.

• Clinical Social Worker in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.