Active NPI
Ethel Ann Goodnow, MSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1336211861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I1921
- Practice address
- 2418 Miles Rd SE
Albuquerque, NM 87106 - Phone
- (505) 243-2923
- Fax
- (505) 842-1503
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 8, 2007
- 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 | I1921 | NM | Primary |
Addresses
Primary practice location
2418 Miles Rd SE
Albuquerque, NM 87106
Mailing address
2418 Miles Rd SE
Albuquerque, NM 87106
Phone (505) 243-2923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I1921 | Other | NM | STATE LICENSE NUMBER |
Other names 1
- Ms. Judy Ea Goodnow
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas H Bien LLC | Past | Accepting new patients | |
| Counseling & Psychotherapy Services, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Albuquerque, NM
- NPI 1417189945
-
- Clinical Psychologist
- Albuquerque, NM
- NPI 1346768157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336211861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 MILES RD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87106",
"telephone_number": "505-243-2923",
"fax_number": "505-842-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 MILES RD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87106",
"telephone_number": "505-243-2923",
"fax_number": "505-842-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODNOW",
"first_name": "ETHEL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I1921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "I1921",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDY EA",
"last_name": "GOODNOW",
"prefix": "MS.",
"credential": "MSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.