Dave Gooden, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2153 Issued in MO

Practice address

1194 Green Hill Rd
Fordland, MO 65652-8253

Phone

(417) 767-2490

NPI assigned

Jun 16, 2008

Last updated

Jun 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Tri-County Adult Day Care

  • Adult Day Care Clinic/Center
  • Marshfield, MO
  • NPI 1487945689
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1275793002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 GREEN HILL RD",
            "city": "FORDLAND",
            "state": "MO",
            "postal_code": "656528253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 GREEN HILL RD",
            "city": "FORDLAND",
            "state": "MO",
            "postal_code": "656528253",
            "telephone_number": "417-767-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEN",
        "first_name": "DAVE",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Daniel Dunavant, DDS
• Ronica Jean Duncan, MSW, LCSW
• Fordland Clinic, Inc.
• Fordland Clinic, Inc.
• Fordland R-3 School Dist
• Theresa Anne Griffith, LPC
• Sarah Marie Jones
• Ronald Kensinger
• Lorena Leone, RDH
• Gary A Linker, MD

• Clinical Social Worker in Fordland, MO
• Providers in Fordland, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.