Organization Active NPI

Gulf Coast Therapy Connection, PLLC.

  • Clinical Social Worker
  • Dunedin, FL
National Provider Identifier
1780017244
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9212 Issued in FL
Legal business name
GULF COAST THERAPY CONNECTION, PLLC.
Practice address
1789 Bayshore Blvd
Dunedin, FL 34698-3343
Phone
(813) 298-4192
NPI assigned
Aug 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Authorized official

Name
Margrit H. Goodhand, LCSWNPI 1902128879
Title
Owner
Phone
(813) 298-4192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW9212 FL Primary

Addresses

Primary practice location

1789 Bayshore Blvd
Dunedin, FL 34698-3343

Mailing address

1789 Bayshore Blvd
Dunedin, FL 34698-3343
Phone (813) 298-4192

Other identifiers 2

IdentifierTypeStateIssuer
19964000MedicaidFL
FV668ZOtherFLMEDICARE ID #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1780017244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 BAYSHORE BLVD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346983343",
            "telephone_number": "813-298-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 BAYSHORE BLVD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346983343",
            "telephone_number": "813-298-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST THERAPY CONNECTION, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "GOODHAND",
        "authorized_official_first_name": "MARGRIT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-298-4192",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19964000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID #",
            "identifier": "FV668Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.