Gayle Marie Goodburn, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001678 Issued in NC

Practice address

2332 Buckingham Rd
Burlington, NC 27217-3286

Phone

(336) 229-6032

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alamance Caswell Area MH DD Sa Area Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burlington, NC
  • NPI 1023131711

  Clinical

  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598974347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 BUCKINGHAM RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173286",
            "telephone_number": "336-229-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 BUCKINGHAM RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173286",
            "telephone_number": "336-229-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODBURN",
        "first_name": "GAYLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Eagle Taxi Corporation
• Devainder Goli, MD
• Tim Gollan, M.D., PH.D.
• Shekinah Gonzales
• Cassandra Elena Gonzalez-Hernandez, PA-C
• Graydon Samuel Goodman, MD
• Michelle Potter Goodrich, DDS
• Lynnette Ann Gordon, LPC, LCAS, CRC
• Sheryl Gottlieb, DO
• Mackenzie Gould, LCSW-A

• Clinical Social Worker in Burlington, NC
• Providers in Burlington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.