Active NPI
Goldie Renee Groen, LISW
- Clinical Social Worker
- West Chester, OH
National Provider Identifier
1760723985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0900173
- Practice address
- 8809B Cincinnati Dayton Rd
West Chester, OH 45069-3134 - Phone
- (513) 360-8205
- NPI assigned
- Mar 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0900173 | OH | Primary |
Addresses
Primary practice location
8809B Cincinnati Dayton Rd
West Chester, OH 45069-3134
Mailing address
4766 E Sand Run Rd
W College CNR, IN 47003-9709
Phone (513) 460-9220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0900173 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Counseling LLC | Clinical | Current | Accepting new patients |
Locations
8809B Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 360-8205
Organizations & group practices 1
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": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1760723985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4766 E SAND RUN RD",
"city": "W COLLEGE CNR",
"state": "IN",
"postal_code": "470039709",
"telephone_number": "513-460-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8809B CINCINNATI DAYTON RD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450693134",
"telephone_number": "513-360-8205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROEN",
"first_name": "GOLDIE",
"middle_name": "RENEE",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-13",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "0900173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.