Individual provider Active NPI

Bethany Goodhue, MA, LMSW

  • Clinical Social Worker
  • Meriden, CT
National Provider Identifier
1487346284
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10462 Issued in CT
Practice address
384 Pratt St
Meriden, CT 06450-8627
Phone
(203) 235-5767
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 10462 CT Primary

Addresses

Primary practice location

384 Pratt St
Meriden, CT 06450-8627

Mailing address

384 Pratt St
Meriden, CT 06450-8627
Phone (203) 235-5767

Other practice location 1

4 Grove Beach Rd N Ste 2D
Westbrook, CT 06498-1656
Phone (860) 437-4550

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10462CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Guidance Clinic for Central Connecticut, Inc CurrentSince Mar 30, 2025 Accepting new patients
Community Guidance Clinic for Central Connecticut, Inc PastSince Mar 30, 2025 Accepting new patients

Locations

384 Pratt St
Meriden, CT 06450
Phone (203) 235-5767

Organizations & group practices 2

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1487346284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 PRATT ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508627",
            "telephone_number": "203-235-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 PRATT ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064508627",
            "telephone_number": "203-235-5767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Grove Beach Rd N Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "CT",
            "postal_code": "064981656",
            "country_code": "US",
            "telephone_number": "860-437-4550",
            "fax_number": "860-661-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODHUE",
        "first_name": "BETHANY",
        "credential": "MA, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.