Active NPI
Jennifer Hassell-Goodson, LCSW
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1477928133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007453A
- Practice address
- 7300 E Indiana St Ste 103
Evansville, IN 47715-7448 - Phone
- (216) 468-5000
- NPI assigned
- Dec 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34007453A | IN | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
7300 E Indiana St Ste 103
Evansville, IN 47715-7448
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (216) 468-5000
Other practice location 1
60 S Stockwell Rd
Evansville, IN 47714-0247
Phone (812) 476-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 839090020 | Other | IN | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160210001045 | IN | Practitioner - Clinical Social Worker | 6901100072 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1477928133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630",
"telephone_number": "216-468-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 E INDIANA ST STE 103",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157448",
"telephone_number": "216-468-5000"
}
],
"practiceLocations": [
{
"address_1": "60 S Stockwell Rd",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477140247",
"country_code": "US",
"telephone_number": "812-476-5437",
"fax_number": "812-422-7558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASSELL-GOODSON",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007453A",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "839090020",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.