Susan Goddard, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10438034-3502 Issued in UT

Practice address

3280 W 3500 S
West Valley, UT 84119-2668

Phone

(801) 979-1351

NPI assigned

Mar 1, 2019

Last updated

Mar 1, 2019By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1356808943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E BENGAL BLVD APT C201",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841217161",
            "telephone_number": "734-330-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 W 3500 S",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841192668",
            "telephone_number": "801-979-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "SUSAN",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10438034-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Freeman, RPH
• Heather Erin Gagne
• Jonathan Matthew Gallo, DC
• Skylar Christine Gamble
• Natalee Garcia, CMHC
• Daiana A Gonzalez
• Granger Pharmacy
• Ivy Grant
• Jacilyn Nicole Gray, ACMHC
• Jay Colton Gray, DDS

• Clinical Social Worker in West Valley, UT
• Providers in West Valley, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.