Susan Amy Goldsmith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60176698 Issued in WA

Practice address

607 Ocean Beach Blvd. N.
Long Beach, WA 98631

Phone

(360) 751-2161

Fax

(360) 642-5353

NPI assigned

Aug 30, 2017

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

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1427576362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 762",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986310762",
            "telephone_number": "360-751-2161",
            "fax_number": "360-642-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 OCEAN BEACH BLVD. N.",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "98631",
            "telephone_number": "360-751-2161",
            "fax_number": "360-642-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "SUSAN",
        "middle_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60176698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE IS BY THE STATE OF WA",
            "identifier": "60176698",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Gehrke
• Jeremy Gehrke
• Kenneth Gerow
• Barbara G Glansbeek
• Frank Oliver Glenn IV, MA, LMHC
• John William Good, CDPT
• Erica Regina Griffin
• Stephen Grote
• Javier Perez Guillen, RMHCA
• Edward Hall

• Clinical Social Worker in Long Beach, WA
• Providers in Long Beach, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.