Amy Elizabeth Park-Goeddeke, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801073707 Issued in MI

Practice address

12151 15 Mile Rd
Sterling Heights, MI 48312-5120

Phone

(248) 921-7649

NPI assigned

Feb 7, 2007

Last updated

Feb 20, 2026By 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

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

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Macomb Therapy Group PLLCGroup PAC ID 4981978418, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Macomb Therapy Group, PLLC

  • Professional Counselor
  • Clinton Township, MI
  • NPI 1801245972

  Clinical

  Medicare reassignment Care Compare group NPD
• Amy Park-Goeddeke,LMSW, L.L.C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pontiac, MI
  • NPI 1124681341
  NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1417097700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 15 MILE RD # 258",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124210",
            "telephone_number": "248-921-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125120",
            "telephone_number": "248-921-7649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42815 Garfield Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381143",
            "country_code": "US",
            "telephone_number": "586-333-5328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK-GOEDDEKE",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801073707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradise Art Therapy Center LLC
• Kavita Paragi, M.D.
• Aruna J Parekh, MD
• Claire Parenteau, MA, CCC-SLP
• Katherine Ann Parish, D.O
• Madelyn Nancy Parke
• Kayla Parker
• Tresavon Delaney Parker III, MA, LLP
• Darshi Mahesh Parmar, PHYSICAL THERAPIST
• Takia Parr

• Clinical Social Worker in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.