Active NPI
Ruth A. Goode, LISW-SUP, ACSW
- Clinical Social Worker
- Ocala, FL
National Provider Identifier
1407907892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I2620 LISW-SUP
- Practice address
- 6160 SW Hwy 200, #110-115
Ocala, FL 34476 - Phone
- (440) 571-1340
- Fax
- (352) 474-2131
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I2620 LISW-SUP | OH | Primary |
Addresses
Primary practice location
6160 SW Hwy 200, #110-115
Ocala, FL 34476
Mailing address
6160 SW Hwy 200, #110-115
Ocala, FL 34476
Phone (440) 571-1340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW14686 | Other | FL | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I2620 LISW-SUP | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1407907892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 SW HWY 200, #110-115",
"city": "OCALA",
"state": "FL",
"postal_code": "34476",
"telephone_number": "440-571-1340",
"fax_number": "352-474-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 SW HWY 200, #110-115",
"city": "OCALA",
"state": "FL",
"postal_code": "34476",
"telephone_number": "440-571-1340",
"fax_number": "352-474-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "RUTH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "LISW-SUP, ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I2620 LISW-SUP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "SW14686",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.