Individual provider Active NPI

Amanda Goddu, LICSW

  • Clinical Social Worker
  • Wolfeboro, NH
National Provider Identifier
1255985446
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2703 Issued in NH
Practice address
240 S Main St
Wolfeboro, NH 03894-4455
Phone
(603) 515-2066
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huggins Hospital 27 clinicians

Practice addresses (Care Compare)

240 S Main St
Wolfeboro, NH 03894-4411
Phone (603) 569-7574

Hospital & facility affiliations

  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312

Merit-based Incentive Payment System (MIPS)

Final score
65.17 of 100Reported as group
Quality
47.69
Improvement activities
40
Cost
79.8

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221003000397 NH Practitioner - Clinical Social Worker 5597141390 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2703NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Huggins Hospital CurrentSince Jan 13, 2023 Accepting new patients
Huggins Hospital CurrentSince Jan 13, 2023 Accepting new patients
Seacoast Mental Health Center, Inc. CurrentSince Jun 8, 2022 Accepting new patients

Locations

27 New Durham Rd
Alton, NH 03809
Phone (603) 875-6151

984 Whittier Hwy
Moultonborough, NH 03254
Phone (603) 476-2216

3 Water Village Rd
Ossipee, NH 03864
Phone (603) 539-6996

1145 Sagamore Ave
Portsmouth, NH 03801
Phone (603) 431-6703

577 White Mountain Hwy
Tamworth, NH 03886
Phone (603) 323-3311

240 S Main St
Ste A
Wolfeboro, NH 03894
Phone (603) 569-7500

240 S Main St
Ste J
Wolfeboro, NH 03894
Phone (603) 569-7588

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

Interoperability endpoints

  • Direct secure messaging: amandagoddu@huggins.medalliesdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2703 NH Primary

Addresses

NPPES NPI Registry

Primary practice location

240 S Main St
Wolfeboro, NH 03894-4455

Mailing address

240 S Main St
Wolfeboro, NH 03894-4455
Phone (603) 515-2026

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3078870MedicaidNH

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL https://hugginshospitalxdr.meditech.cloud/services/HUGMA/HUGLIVE2402N/MAASLIVE/DIR Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2025.

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1255985446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944455",
            "telephone_number": "603-515-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944455",
            "telephone_number": "603-515-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDU",
        "first_name": "AMANDA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078870",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hugginshospitalxdr.meditech.cloud/services/HUGMA/HUGLIVE2402N/MAASLIVE/DIR",
            "affiliation": "N",
            "endpointDescription": "Primary XD Endpoint",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "240 S Main St",
            "city": "Wolfeboro",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038944455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.