Latrish Goddard, LCSW, LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P006729 Issued in NC

Practice address

115 E Main St Ste 17
Williamston, NC 27892-2482

Phone

(252) 493-1860

NPI assigned

Aug 28, 2012

Last updated

Oct 13, 2022By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Transformative Home Care, LLC

  • In Home Supportive Care Agency
  • Williamston, NC
  • NPI 1295451797
  Medicare reassignment NPD Authorized official
• Transformative Home Care, LLC

  • Community/Behavioral Health Agency
  • Williamston, NC
  • NPI 1659227551
  NPD Authorized official
• Transformative Transit Services, LLC

  dba Transformative Home Care LLC

  • Private Vehicle
  • Williamston, NC
  • NPI 1770460347
  NPD Authorized official
• Onlyyou, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Williamston, NC
  • NPI 1952027450
  Authorized official Same address or phone
• A Plus Results Independent Living Services Inc

  • Mental Health Counselor
  • Plymouth, NC
  • NPI 1033380977

  Clinical

  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1366790024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "JAMESVILLE",
            "state": "NC",
            "postal_code": "278460130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST STE 17",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922482",
            "telephone_number": "252-493-1860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 E Water St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "NC",
            "postal_code": "279621349",
            "country_code": "US",
            "telephone_number": "252-793-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2951 Sherwin Downs Dr",
            "address_purpose": "LOCATION",
            "city": "Grimesland",
            "state": "NC",
            "postal_code": "278379148",
            "country_code": "US",
            "telephone_number": "252-802-1219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "LATRISH",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P006729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366790024",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lg071979@gmailm.com",
            "affiliation": "N",
            "address_1": "115 E Main St Ste 17",
            "city": "Williamston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278922482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Focus Health Services, Inc.
• Eric Fraley, RPH
• Tina A Frazier, RRT, RCP
• Ryan Daniel Garner, PHARM. D.
• Miller Walton Gibbons Jr., PHARM.D.
• Good Kids Therapeutic Resources
• Paula Asbell Goodwin, RN
• Grace and Mercy Home Care Inc.
• Melissa Greene, CNM
• Zachary Steven Griffin

• Clinical Social Worker in Williamston, NC
• Providers in Williamston, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.