Laurie Goetze, LMSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801058347 Issued in MI

Practice address

1101 Military St
Port Huron, MI 48060-5418

Phone

(810) 984-5575

Fax

(810) 984-6433

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Colonial Woods Missionary ChurchGroup PAC ID 7810140043, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Colonial Woods Missionary Church

  • Clinic/Center
  • Port Huron, MI
  • NPI 1033372818
  Medicare reassignment Care Compare group NPD Authorized official
• Blue Water Center for Christian Counseling P.C.

  • Mental Health Counselor
  • Port Huron, MI
  • NPI 1558494633
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1750481289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605418",
            "telephone_number": "810-984-5575",
            "fax_number": "810-984-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605418",
            "telephone_number": "810-984-5575",
            "fax_number": "810-984-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZE",
        "first_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "659832",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Go
• Tamika Michelle Godboldo
• Nichole Ann Goddard I, L.L.M.S.W.
• Laura Allison Godwin, LLPC
• David Paul Goetze, MA, LLP, NCP
• Andrea L Goldsworthy-Robbins, D.D.S.
• Justin R Gomoluch
• Richardo Gonzales
• Susan Carol Good
• Kimberly A. Goode, CRNA

• Clinical Social Worker in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.