Jennifer Hudson Goscinski, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005915 Issued in NC

Practice address

7531 S Virginia Dare TRL
Suite 3a
Nags Head, NC 27959-9162

Phone

(252) 489-9127

Fax

(252) 480-3127

NPI assigned

Jan 14, 2008

Last updated

Apr 9, 2008By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1689850174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279490268",
            "telephone_number": "252-489-9127",
            "fax_number": "252-480-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 S VIRGINIA DARE TRL",
            "address_2": "SUITE 3A",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599162",
            "telephone_number": "252-489-9127",
            "fax_number": "252-480-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSCINSKI",
        "first_name": "JENNIFER",
        "middle_name": "HUDSON",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106866",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trudie Gardner, PA-C
• Nicholas David Gatto, NP
• Sarah Ann Gist
• Renee Glover, MD
• Angela Goetsch, OTR/L
• Jonelle Ulep Haigh, D.O.
• Christine Bui Hall, D.C.
• Jaclyn Eva Hall, RDN, LDN
• Philip Isaac Hall, DO
• William Tuttle Hall, D.C

• Clinical Social Worker in Nags Head, NC
• Providers in Nags Head, 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 Apr 9, 2008; 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.