Carolyn D. Goodrich, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISWOIOO8 Issued in RI

Practice address

900 E Shore Rd
Jamestown, RI 02835-1910

Phone

(401) 423-3526

Fax

(401) 423-3124

NPI assigned

May 12, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801846449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E SHORE RD",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028351910",
            "telephone_number": "401-423-3526",
            "fax_number": "401-423-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E SHORE RD",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028351910",
            "telephone_number": "401-423-3526",
            "fax_number": "401-423-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "CAROLYN",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISWOIOO8",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW-004614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "26941-4",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "411327",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Rexford Fanning, MA, LMHC
• Peter R Fay, LICSW
• Janet Marie Gargaro-Larson
• Donna L Gavin, O.D.
• Marianna Goliasova
• Maryanne Guertin, RPH
• Island Therapy, LLC
• Jamestown Home Health Care (Consistent Care CTG Corporation)
• Jamestown School Department
• Jamestown School Department

• Clinical Social Worker in Jamestown, RI
• Providers in Jamestown, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.