Individual provider Active NPI

Natalie Elizabeth Gougeon, LCSW

  • Clinical Social Worker
  • Glendale, CA
National Provider Identifier
1700214038
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
81205 Issued in CA
Practice address
330 N Brand Blvd Ste 700
Glendale, CA 91203-2336
Phone
(800) 516-0975
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 81205 CA Primary
Clinical Social Worker 1041C0700X 37317 CA

Addresses

Primary practice location

330 N Brand Blvd Ste 700
Glendale, CA 91203-2336

Mailing address

9450 SW Gemini Dr Ste 58509
Beaverton, OR 97008-7105
Phone (800) 516-0975

Other practice location 1

1645 Pyrenees Ave Apt 57
Stockton, CA 95210-5218
Phone (530) 925-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20181226002078 CA Practitioner - Clinical Social Worker 9739423534 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81205CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 CurrentSince Sep 25, 2018 Accepting new patients
Healthright 360 Current Accepting new patients
Forward Wellness Family Therapy, Inc. CurrentSince Jun 12, 2024 Accepting new patients
Healthright 360 CurrentSince Sep 25, 2018 Accepting new patients
Felton Institute CurrentSince Nov 10, 2020 Accepting new patients
Felton Institute Current Accepting new patients
Felton Institute CurrentSince Nov 10, 2020 Accepting new patients
Felton Institute Past Accepting new patients

Locations

1005 Atlantic Ave
Alameda, CA 94501
Phone (510) 318-6100

1814 Franklin St
Oakland, CA 94612
Phone (510) 318-6100

1041 E Yorba Linda Blvd
Ste 202
Placentia, CA 92870
Phone (714) 579-0717

30 E San Joaquin St
Ste 102
Salinas, CA 93901
Phone (831) 393-5994

330 Ellis St
San Francisco, CA 94102
Phone (415) 654-6000

6221 Geary Blvd
San Francisco, CA 94121
Phone (415) 251-5770

558 Clayton St
San Francisco, CA 94117
Phone (415) 746-1950

1108 S El Camino Real
San Mateo, CA 94402
Phone (650) 458-0026

361 3rd St
Ste B
San Rafael, CA 94901
Phone (415) 747-8178

Organizations & group practices 8

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1700214038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 SW GEMINI DR STE 58509",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087105",
            "telephone_number": "800-516-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 700",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032336",
            "telephone_number": "800-516-0975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Pyrenees Ave Apt 57",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952105218",
            "country_code": "US",
            "telephone_number": "530-925-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUGEON",
        "first_name": "NATALIE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81205",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "37317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.