Ilanarei Rachael Goss, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113268 Issued in MA

Practice address

380 Pleasant St
Ste 11
Malden, MA 02148-8127

Phone

(617) 955-6519

Fax

(339) 674-3017

NPI assigned

Aug 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ilana Tavan Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Sayftee

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brookline, MA
  • NPI 1942778923
  NPD (past)

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1619282159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 PLEASANT ST",
            "address_2": "STE 11",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021488127",
            "telephone_number": "617-955-6519",
            "fax_number": "339-674-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 PLEASANT ST",
            "address_2": "STE 11",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021488127",
            "telephone_number": "617-955-6519",
            "fax_number": "339-674-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "ILANAREI",
        "middle_name": "RACHAEL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILANA",
            "last_name": "TAVAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Ann Goodman
• Pamela Norman Goodrich
• Nicholas Gopal
• Andrea E Gordon, MD
• Kara Gordon, DPT
• Dora Gouveia, DPT
• Grace Haven Counseling Services, LLC
• Harriet Graham, RNBSN
• Vaughn Anthony Graves, DPT
• Shazia Gray

• Clinical Social Worker in Malden, MA
• Providers in Malden, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.

Verify at the official NPI Registry.