Lora Linn Goodnight, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012878 Issued in IL

Practice address

1108 S Pine St
Champaign, IL 61820-6335

Phone

(708) 669-6019

NPI assigned

Nov 20, 2023

Last updated

Dec 1, 2023By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1467227587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S PINE ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206335",
            "telephone_number": "708-669-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S PINE ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206335",
            "telephone_number": "708-669-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNIGHT",
        "first_name": "LORA",
        "middle_name": "LINN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance L. Gonzalez
• Danae Gonzalez
• Emily Elizabeth Gonzalez, BA, MHP
• Jeremy Good, PA
• Trudy L. Good, PH.D.
• Nancy Goodrich Mitts, PHD
• Elana Esther Gordon, PT
• Jenna Gordon, LCSW
• Matthew Gordon
• Rayal Gorrepati, MD

• Clinical Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.