Emily Goeller, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06682500 Issued in NJ

Practice address

105 Hendrickson Ave
Brick, NJ 08724-2574

Phone

(732) 785-3000

NPI assigned

Aug 11, 2022

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1386372977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2036",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087018036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HENDRICKSON AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242574",
            "telephone_number": "732-785-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOELLER",
        "first_name": "EMILY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06682500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathleen Anne Givney, M.S., CCC-SLP
• Admasu N Gizachew
• Nico Gladfelter, L.AC.
• Lisa Ann Glassford, BCBA
• Amanda Nicole Glynn
• Arlene Goldfarb-Schwartz
• Lori Goldman, LPC
• Pamela Lynn Goldsmith, ATC
• Tracy Goldych, D.C.
• Armando B Gonzales, D.C.

• Social Worker in Brick, NJ
• Providers in Brick, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.