Individual provider Active NPI

Theresa Francisco Goff, LCSW

  • Clinical Social Worker
  • Midlothian, VA
National Provider Identifier
1275629768
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004482 Issued in VA
Practice address
2401 Kings Lynn Rd
Midlothian, VA 23113-3813
Phone
(804) 339-2297
Fax
(866) 745-6213
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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 0904004482 VA Primary

Addresses

Primary practice location

2401 Kings Lynn Rd
Midlothian, VA 23113-3813

Mailing address

2401 Kings Lynn Rd
Midlothian, VA 23113-3813
Phone (804) 399-2297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070228000697 VA Practitioner - Clinical Social Worker 6507968112 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004482VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Aug 10, 2021 Accepting new patients

Locations

9846 Lori Rd
Ste 201
Chesterfield, VA 23832
Phone (804) 419-4122

12093 Gayton Rd
Ste 95
Henrico, VA 23238

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1275629768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 KINGS LYNN RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133813",
            "telephone_number": "804-399-2297",
            "fax_number": "866-745-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 KINGS LYNN RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133813",
            "telephone_number": "804-339-2297",
            "fax_number": "866-745-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "THERESA",
        "middle_name": "FRANCISCO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.