Individual provider Active NPI

Celeste Ray Goodman, LCSW

  • Clinical Social Worker
  • New Port Richey, FL
National Provider Identifier
1689034613
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15209 Issued in FL
Practice address
9332 State Road 54 Ste 307
New Port Richey, FL 34655-1810
Phone
(989) 709-0269
NPI assigned
Mar 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW15209 FL Primary

Addresses

Primary practice location

9332 State Road 54 Ste 307
New Port Richey, FL 34655-1810

Mailing address

9332 State Road 54 Ste 307
New Port Richey, FL 34655-1810
Phone (833) 769-3524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20180928001038 FL Practitioner - Clinical Social Worker 8820349970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

9332 State Rd
54 Suite 307
Trinity, FL 34655-1810
Phone (727) 999-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW15209FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Mar 3, 2025 Accepting new patients
Suncoast Center, Inc. CurrentSince Jul 30, 2018 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

2188 58th St N
Clearwater, FL 33760
Phone (727) 544-3900

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

4024 Central Ave
St Petersburg, FL 33711

1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514

9332 State Road 54
Ste 307
Trinity, FL 34655
Phone (727) 999-3311

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": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1689034613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 307",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "833-769-3524",
            "fax_number": "727-478-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 307",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "989-709-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "CELESTE",
        "middle_name": "RAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.