Michelle a. Goodnow LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105264 Issued in MA

Legal business name

MICHELLE A. GOODNOW LLC

Practice address

96 W Main St
Suite 3
Northborough, MA 01532-3810

Phone

(508) 393-9800

NPI assigned

Apr 27, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Michelle A Goodnow, L.I.C.S.W.

Title

Clinical Social Worker

Phone

(508) 393-9800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1346567534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MAYFAIR DR",
            "city": "BOXBOROUGH",
            "state": "MA",
            "postal_code": "017191838",
            "telephone_number": "978-266-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015323810",
            "telephone_number": "508-393-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE A. GOODNOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "GOODNOW",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "508-393-9800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.I.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Northborough, MA
• Providers in Northborough, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.