Individual provider Active NPI

Latonya Shonta Goudy, MSW, CSW

  • Social Worker
  • Denham Springs, LA
National Provider Identifier
1639206097
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17783 Issued in LA
Practice address
106 Business Park Dr
Denham Springs, LA 70726-7825
Phone
(888) 417-5250
Fax
(225) 341-8756
NPI assigned
Feb 27, 2007
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 17783 LA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

106 Business Park Dr
Denham Springs, LA 70726-7825

Mailing address

106 Business Park Dr
Denham Springs, LA 70726-7825
Phone (888) 417-5250

Other identifiers 1

IdentifierTypeStateIssuer
00018214MedicaidMS

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

State licenses

LicenseStateTypeSpecialty
17783LAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Clinic CurrentSince May 7, 2023 Accepting new patients
Laroque LLC PastSince May 7, 2023 Accepting new patients
Trinity Counseling Center Past Accepting new patients

Locations

106 Business Park Dr
Denham Springs, LA 70726
Phone (888) 417-5250

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1639206097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BUSINESS PARK DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267825",
            "telephone_number": "888-417-5250",
            "fax_number": "225-341-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BUSINESS PARK DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267825",
            "telephone_number": "888-417-5250",
            "fax_number": "225-341-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDY",
        "first_name": "LATONYA",
        "middle_name": "SHONTA",
        "name_prefix": "Ms.",
        "credential": "MSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "17783",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018214",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.