Active NPI
Stephanie Goodrich, LMSW
- Social Worker
- Memphis, TN
National Provider Identifier
1477862712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8543
- Practice address
- 3810 Winchester Rd
Southeast Mental Health Center
Memphis, TN 38118-6045 - Phone
- (901) 369-1420
- Fax
- (901) 369-1433
- NPI assigned
- Oct 5, 2010
- Last updated
- Oct 5, 2010
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 8543 | TN | Primary |
Addresses
Primary practice location
3810 Winchester Rd
Southeast Mental Health Center
Memphis, TN 38118-6045
Mailing address
133 Harbor Club Cir N
Apt 102
Memphis, TN 38103-8817
Phone (901) 356-8672
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8543 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1477862712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 HARBOR CLUB CIR N",
"address_2": "APT 102",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381038817",
"telephone_number": "901-356-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 WINCHESTER RD",
"address_2": "SOUTHEAST MENTAL HEALTH CENTER",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381186045",
"telephone_number": "901-369-1420",
"fax_number": "901-369-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRICH",
"first_name": "STEPHANIE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "8543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.