Julie Goddard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149020440 Issued in IL

Practice address

134 S Liberty St
Rushville, IL 62681-1420

Phone

(217) 430-4498

NPI assigned

Jul 3, 2018

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Guidance With Grace Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Rushville, IL
  • NPI 1598434680
  NPD Authorized official

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1346736295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S LIBERTY ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811420",
            "telephone_number": "217-430-4498",
            "fax_number": "309-776-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S LIBERTY ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811420",
            "telephone_number": "217-430-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Rehabilitation & Wellness Services LLC
• Foot and Ankle Associates of Central Illinois LLC
• Gerleman Chiropractic & Acupuncture PLLC
• Jennifer Jayne Gerleman, DC
• Mark Andrew Gerleman, DC
• Heidi Marie Greer, APRN
• Krista D Groenewold, CCC-SLP/L
• Guidance With Grace Counseling Services, LLC
• Stephen Charles Hansen, PSYD, LCP
• Pamela Constance Hewitt-Meyer, PSYD, LCP, LCPC

• Clinical Social Worker in Rushville, IL
• Providers in Rushville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.