Jean Marie Goldthwait, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

805716 Issued in NY

Practice address

114 Canal St Ste 301
Pooler, GA 31322-4259

Phone

(912) 712-2550

Fax

(912) 480-0518

NPI assigned

Dec 4, 2013

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

Enrolled in GA

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, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Shrink SavannahGroup PAC ID 6103114988, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shrink Savannah

  • Adult Mental Health Clinic/Center
  • Savannah, GA
  • NPI 1659731826
  Medicare reassignment Care Compare group NPD
• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  Medicare reassignment NPD
• Jean Goldthwait LCSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richmond Hill, GA
  • NPI 1891250718
  NPD Authorized official

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1679904437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CANAL ST STE 301",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224259",
            "telephone_number": "912-712-2550",
            "fax_number": "912-480-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CANAL ST STE 301",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224259",
            "telephone_number": "912-712-2550",
            "fax_number": "912-480-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDTHWAIT",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "805716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaya Daminique Gilmer
• Madison Gilmore
• Roosevelt Givens IV
• John Paul Gleason, M.D.
• Kathleen Glover, RBT
• Good Samaritan Behavioral Health, Inc.
• Mercedes Goodacre
• Bradley Gordon
• Alfred Carl Gorman Sr., M.D.
• Ella Grace Gossett

• Social Worker in Pooler, GA
• Providers in Pooler, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.