Individual provider Active NPI

Elizabeth Goldy, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1336343771
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3835 Issued in KY
Practice address
5454 New Cut Rd
Louisville, KY 40214-4271
Phone
(502) 333-0218
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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 3835 KY Primary

Addresses

Primary practice location

5454 New Cut Rd
Louisville, KY 40214-4271

Mailing address

5454 New Cut Rd
Louisville, KY 40214-4271
Phone (502) 333-0218

Other identifiers 1

IdentifierTypeStateIssuer
1041X0700XOtherKYSUBSPECIALTY TAXONOMY

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
3835KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Solutions Counseling Inc Clinical Past Accepting new patients

Organizations & group practices 1

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1336343771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 NEW CUT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144271",
            "telephone_number": "502-333-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 NEW CUT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144271",
            "telephone_number": "502-333-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDY",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSPECIALTY TAXONOMY",
            "identifier": "1041X0700X",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.