Erin Goff
Individual provider Active NPI Social Worker · Thurmont, MD
NPI 1366037541 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1366037541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 26751 (MD)
- Practice address
- 504 Gateway Dr W
Thurmont, MD 21788-3202 - Phone
- (240) 397-1540
- NPI assigned
- Mar 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26751 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Healing Therapeutic Services LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Social Worker | 104100000X | 26751 | MD | Yes |
Addresses
Primary practice location
504 Gateway Dr W
Thurmont, MD 21788-3202
Mailing address
1003 W 7TH St
Frederick, MD 21701-4106
Phone (301) 345-1022
Other providers in Thurmont, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.