Active NPI
Rhonda Lynn Goodman, LCSW
- Clinical Social Worker
- Thornton, CO
National Provider Identifier
1477969038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW0001550
- Practice address
- 12021 Pennsylvania St Ste 203
Thornton, CO 80241-3152 - Phone
- (720) 496-9976
- Fax
- (303) 450-1574
- NPI assigned
- Jul 3, 2014
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW0001550 | CO | Primary |
Addresses
Primary practice location
12021 Pennsylvania St Ste 203
Thornton, CO 80241-3152
Mailing address
11625 Community Center Dr Unit 422
Northglenn, CO 80233-1975
Phone (720) 496-9976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11625 Community Ctr Dr
Unit 422
Northglenn, CO 80233
215 N E Ave
Suite 201
Fayetteville, AR 72701-5296
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1550 | CO | MD | Professional Counselor |
| CSW0001550 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Counseling Associates | Clinical | Current | Accepting new patients |
Locations
215 N East Ave
Ste 201
Fayetteville, AR 72701
Phone (479) 239-9181
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.
-
- Clinical Social Worker
- Fayetteville, AR
- NPI 1073051934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1477969038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11625 COMMUNITY CENTER DR UNIT 422",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802331975",
"telephone_number": "720-496-9976",
"fax_number": "303-450-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 PENNSYLVANIA ST STE 203",
"city": "THORNTON",
"state": "CO",
"postal_code": "802413152",
"telephone_number": "720-496-9976",
"fax_number": "303-450-1574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "RHONDA",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW0001550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.