NPIMap

Individual provider Active NPI

Alan Goodstat, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1306455316
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012227 Issued in NC
Practice address
8509 Crown Crescent CT
Charlotte, NC 28227-7733
Phone
(704) 288-1097
NPI assigned
Jul 26, 2020
Last updated
Nov 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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 C012227 NC Primary

Addresses

Primary practice location

8509 Crown Crescent CT
Charlotte, NC 28227-7733

Mailing address

6619 NW 97TH LN
Parkland, FL 33076-2339
Phone (954) 415-0758

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address alang@theblanchardinstitute.com Direct
Direct Messaging Address alan@carolinacenterforrecovery.com Direct

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
C012227NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Blanchard Institute CurrentSince Sep 20, 2020 Accepting new patients
Cypress Lake Lodge Current Accepting new patients
The Blanchard Institute PastSince Aug 1, 2020 Accepting new patients
Carolina Center for Recovery PastSince Jan 1, 2021 Accepting new patients

Locations

10348 Park Rd
Charlotte, NC 28210
Phone (704) 288-1097

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1306455316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 NW 97TH LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762339",
            "telephone_number": "954-415-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8509 CROWN CRESCENT CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277733",
            "telephone_number": "704-288-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSTAT",
        "first_name": "ALAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-26",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alang@theblanchardinstitute.com",
            "affiliation": "N",
            "endpointDescription": "Email - Pracitce",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10348 Park Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282108507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alan@carolinacenterforrecovery.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "8509 Crown Crescent Ct",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282277733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.