Individual provider Active NPI

Carol S. Goodsell-Hobbs, MSW

  • Clinical Social Worker
  • Glens Falls, NY
National Provider Identifier
1265582100
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-028138-1 Issued in NY
Practice address
147 Ridge St
Glens Falls, NY 12801-3216
Phone
(518) 793-2907
NPI assigned
Jan 11, 2007
Last updated
Feb 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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 R-028138-1 NY Primary

Addresses

Primary practice location

147 Ridge St
Glens Falls, NY 12801-3216

Mailing address

147 Ridge St
Glens Falls, NY 12801-3216
Phone (518) 793-2907

Other identifiers 1

IdentifierTypeStateIssuer
1265582100MedicaidNY

Other names 1

  • Carol S. Goodsell 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-028138-1NYMDClinical Social Worker
028138NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1265582100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 RIDGE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013216",
            "telephone_number": "518-793-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 RIDGE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013216",
            "telephone_number": "518-793-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSELL-HOBBS",
        "first_name": "CAROL",
        "middle_name": "S.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-028138-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265582100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "GOODSELL",
            "middle_name": "S.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.