Individual provider Active NPI

Rebecca Jo Goin, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1336753748
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3234 Issued in KY
Practice address
13700 English Villa Dr
Louisville, KY 40245-3938
Phone
(502) 254-2361
NPI assigned
Sep 2, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 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 3234 KY Primary

Addresses

Primary practice location

13700 English Villa Dr
Louisville, KY 40245-3938

Mailing address

8400 Famous CT
Louisville, KY 40219-3944
Phone (502) 432-5145

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rebecca_goin@teamhealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200910002273 KY Practitioner - Clinical Social Worker 3173941986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Post-Acute Medical Services 1 PSCGroup PAC ID 9234471426, 25 clinicians

Practice addresses (Care Compare)

1105 Dorsey LN
Louisville, KY 40223-2614
Phone (502) 907-1294

200 Brookside Dr
Louisville, KY 40243-1277
Phone (800) 385-2527

4247 Westport Rd
Louisville, KY 40207-2227
Phone (502) 694-7432

5012 E Manslick Rd
Louisville, KY 40219-5165
Phone (502) 969-3277

723 Old Burkesville Rd
Albany, KY 42602-1654
Phone (606) 387-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3234KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC CurrentSince Jan 1, 2021 Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

1505 S Dixie St
Horse Cave, KY 42749
Phone (270) 786-2200

13700 English Villa Dr
Louisville, KY 40245
Phone (502) 254-2361

Interoperability endpoints

  • Direct secure messaging: rebecca_goin@teamhealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1336753748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 FAMOUS CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193944",
            "telephone_number": "502-432-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 ENGLISH VILLA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402453938",
            "telephone_number": "502-254-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOIN",
        "first_name": "REBECCA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rebecca_goin@teamhealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "8400 Famous Ct",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402193944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.