Active NPI
Teraefean Goodwin
- Clinical Social Worker
- Raeford, NC
National Provider Identifier
1285393652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P016789
- Practice address
- 769 Aberdeen Rd
Raeford, NC 28376-0029 - Phone
- (910) 878-1502
- NPI assigned
- Dec 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P016789 | NC | Primary |
Addresses
Primary practice location
769 Aberdeen Rd
Raeford, NC 28376-0029
Mailing address
148 5TH St
Hamlet, NC 28345-7918
Phone (910) 852-0121
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
| License | State | Type | Specialty |
|---|---|---|---|
| P016789 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1285393652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 5TH ST",
"city": "HAMLET",
"state": "NC",
"postal_code": "283457918",
"telephone_number": "910-852-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 ABERDEEN RD",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283760029",
"telephone_number": "910-878-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "TERAEFEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P016789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raeford, NC
- Global Dynamic Group Inc
- Go Ez Transportation LLC
- Jonathon Seth Godwin, MSW
- Casey Gonzalez, MS
- Good Deeds (Shanicha)
- Goshen Medical Center Incorporated (Goshen Medical Center - Raeford)
- Grace Health Care Center PLLC (Grace Health & Urgent Care Center)
- Charlescie Graham, LCSW, LCAS
- Jordan Skye Graham
- Grandma Lucy's Home Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.