Individual provider Active NPI

Heather Kathleen Duncan Goldy, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1306404306
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60555705 Issued in WA
Practice address
2815 Eastlake Ave E Ste 160
Seattle, WA 98102-3194
Phone
(206) 782-0272
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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 60555705 WA Primary

Addresses

Primary practice location

2815 Eastlake Ave E Ste 160
Seattle, WA 98102-3194

Mailing address

20332 166TH Ave NE
Woodinville, WA 98072-7087
Phone (425) 443-8399

Other practice location 1

20332 166th Ave NE
Woodinville, WA 98072-7087
Phone (425) 443-8399

Other names 1

  • Heather Kathleen Duncan 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60555705WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1306404306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20332 166TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727087",
            "telephone_number": "425-443-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 EASTLAKE AVE E STE 160",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023194",
            "telephone_number": "206-782-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20332 166th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Woodinville",
            "state": "WA",
            "postal_code": "980727087",
            "country_code": "US",
            "telephone_number": "425-443-8399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDY",
        "first_name": "HEATHER",
        "middle_name": "KATHLEEN DUNCAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60555705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DUNCAN",
            "middle_name": "KATHLEEN",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.