Active NPI
Jennifer M Goetz, MSW, LSW, RPH
- Social Worker
- Johnstown, PA
National Provider Identifier
1790077998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW141549
- Practice address
- 2517 Bedford St
Johnstown, PA 15904-1424 - Phone
- (814) 659-1137
- NPI assigned
- May 5, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW141549 | PA | Primary |
| Pharmacist | 183500000X | RP044828L | PA |
Addresses
Primary practice location
2517 Bedford St
Johnstown, PA 15904-1424
Mailing address
1501 Scalp Ave
Johnstown, PA 15904-3308
Other practice location 1
1501 Scalp Ave
Johnstown, PA 15904-3308
Phone (814) 266-9631
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)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW141549 | PA | MD | Social Worker |
| RP044828L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choices Clinical Counseling, LLC | Current | Accepting new patients | |
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | Past | Accepting new patients |
Locations
2517 Bedford St
Johnstown, PA 15904
Phone (814) 241-7990
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Johnstown, PA
- NPI 1811325921
-
- Community/Retail Pharmacy
- Johnstown, PA
- NPI 1689773848
-
- Community/Retail Pharmacy
- Hamburg, NJ
- NPI 1114026341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1790077998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SCALP AVE",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 BEDFORD ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159041424",
"telephone_number": "814-659-1137"
}
],
"practiceLocations": [
{
"address_1": "1501 Scalp Ave",
"address_purpose": "LOCATION",
"city": "Johnstown",
"state": "PA",
"postal_code": "159043308",
"country_code": "US",
"telephone_number": "814-266-9631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOETZ",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "MSW, LSW, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW141549",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP044828L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.