Jeremy Goldsmith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

109947 Issued in CA

Practice address

2060 Campus Dr
Yreka, CA 96097-9538

Phone

(530) 841-4100

NPI assigned

Dec 14, 2022

Last updated

Dec 14, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of SiskiyouGroup PAC ID 8224280706, 8 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.

• County of Siskiyou

  dba County of Siskiyou Behavioral Health

  • Community/Behavioral Health Agency
  • Yreka, CA
  • NPI 1780803239
  Medicare reassignment Care Compare group NPD
• County of Siskiyou

  dba County of Siskiyou Behavioral Health Services

  • Community/Behavioral Health Agency
  • Mount Shasta, CA
  • NPI 1427219237
  NPD

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1437861085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W 7TH ST STE 900",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013013",
            "telephone_number": "512-838-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CAMPUS DR",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960979538",
            "telephone_number": "530-841-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "JEREMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xochitl B Gibson
• Brett Gillis
• Carla Glinka
• Donald Goldesberry
• Gwen Goldesberry
• Janet A. Grassman, R.PH.
• April Jeanne Gray, PMHNP
• Diane Marie Gularte, LMFT
• Salim Gumati, DPT
• Rico M Gutierrez

• Clinical Social Worker in Yreka, CA
• Providers in Yreka, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.