Individual provider Active NPI

Rebekkah Goodhart, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1245897321
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924265 Issued in CO
Practice address
2855 N Speer Blvd Ste C
Denver, CO 80211-4240
Phone
(720) 650-4122
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09924265 CO Primary

Addresses

Primary practice location

2855 N Speer Blvd Ste C
Denver, CO 80211-4240

Mailing address

2855 N Speer Blvd Ste C
Denver, CO 80211-4240
Phone (720) 650-4122

Other names 1

  • Rebekkah Goodman-Williams Former name

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

LicenseStateTypeSpecialty
CSW.09924265COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nurtured Self Counseling, LLC Clinical Current Accepting new patients

Locations

2855 N Speer Blvd
Ste C
Denver, CO 80211
Phone (720) 248-8470

2247 Federal Blvd
Denver, CO 80211
Phone (303) 917-2600

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.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1245897321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N SPEER BLVD STE C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114240",
            "telephone_number": "720-650-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N SPEER BLVD STE C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114240",
            "telephone_number": "720-650-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODHART",
        "first_name": "REBEKKAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKKAH",
            "last_name": "GOODMAN-WILLIAMS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.