Individual provider Active NPI

Julia W Goodowens, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1326310301
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001233 Issued in TN
Practice address
101 Jordan Dr
Chattanooga, TN 37421-6732
Phone
(423) 316-5409
Fax
(423) 510-1888
NPI assigned
Feb 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 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 001233 TN Primary

Addresses

Primary practice location

101 Jordan Dr
Chattanooga, TN 37421-6732

Mailing address

101 Jordan Dr
Chattanooga, TN 37421-6732
Phone (423) 316-5409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120627000359 TN Practitioner - Clinical Social Worker 0749445666 Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Jordan Dr
Chattanooga, TN 37421-6732
Phone (423) 316-5409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001233TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Stetson, MD, PLLC PastSince Oct 1, 2007 Accepting new patients
Cleveland Psychiatric Center, PC PastSince Jun 17, 2019 Accepting new patients
Wayne E. Tasker and Associates, Inc. Clinical Past Accepting new patients

Organizations & group practices 3

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1326310301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216732",
            "telephone_number": "423-316-5409",
            "fax_number": "423-510-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216732",
            "telephone_number": "423-316-5409",
            "fax_number": "423-510-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODOWENS",
        "first_name": "JULIA",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "001233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.