Individual provider Active NPI

Janice T. Goldfein, LMSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1407860349
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
JG021239 Issued in MI
Practice address
30375 Northwestern Hwy
Suite 200
Farmington Hills, MI 48334
Phone
(248) 254-3332
Fax
(248) 254-3333
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X JG021239 MI Primary

Addresses

Primary practice location

30375 Northwestern Hwy
Suite 200
Farmington Hills, MI 48334

Mailing address

30375 Northwestern Hwy.
Suite #200
Farmington Hills, MI 48334-3297
Phone (248) 254-3332

Other identifiers 1

IdentifierTypeStateIssuer
JG021239OtherMILISCENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20060329000064 MI Practitioner - Clinical Social Worker 1153341748 Practice locations: Farmington Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30665 Northwestern Hwy
Suite 255
Farmington Hills, MI 48334-3144
Phone (248) 354-3245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JG021239MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1407860349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30375 NORTHWESTERN HWY.",
            "address_2": "SUITE #200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343297",
            "telephone_number": "248-254-3332",
            "fax_number": "248-254-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30375 NORTHWESTERN HWY",
            "address_2": "SUITE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-254-3332",
            "fax_number": "248-254-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFEIN",
        "first_name": "JANICE",
        "middle_name": "T.",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "JG021239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE #",
            "identifier": "JG021239",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.