Richard Tait Goodling, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001816 Issued in VA

Practice address

501 Faulconer Dr
Suite 2D
Charlottesville, VA 22903-4980

Phone

(434) 963-0324

NPI assigned

Aug 11, 2006

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beacon Behavioral Health LLC

  • Psychiatry Physician
  • Charlottesville, VA
  • NPI 1275420028
  NPD (past)
• Integrative Healing, LLC

  • Community/Behavioral Health Agency
  • Charlottesville, VA
  • NPI 1154881068
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407868482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAULCONER DR",
            "address_2": "SUITE 2D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034980",
            "telephone_number": "434-963-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FAULCONER DR",
            "address_2": "SUITE 2D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034980",
            "telephone_number": "434-963-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLING",
        "first_name": "RICHARD",
        "middle_name": "TAIT",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NETWORK",
            "identifier": "194810",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Goode
• Theresa Goodenough, FNP
• Barbara Goodin, MS RD
• Jordan Lenae Gooding, MD
• Howard P. Goodkin
• Paige Maddox Goodloe
• Linnea Rose Goodman, MD
• Matthew J. Goodman, M.D.
• Katherine Anne Goodrich, PA-C
• Robyn Goodrich, MD

• Clinical Social Worker in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.