Marti Gould, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1234 Issued in NH

Practice address

11 Northeasten Blvd
Suite 110
Nashua, NH 03060-3921

Phone

(603) 546-5236

Fax

(603) 886-8058

NPI assigned

Oct 7, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  NPD (past)
• Transitions Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1952360760
  NPD (past)
• Tri-County Mental Health Services

  • Mental Health Counselor
  • Lewiston, ME
  • NPI 1215979158
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801884465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NORTHEASTERN BLVD",
            "address_2": "SUITE 110",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623139",
            "telephone_number": "603-546-5263",
            "fax_number": "603-886-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NORTHEASTEN BLVD",
            "address_2": "SUITE 110",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603921",
            "telephone_number": "603-546-5236",
            "fax_number": "603-886-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "MARTI",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14Y007702NH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14Y007702NH03",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Goss
• Melissa Jane Goss, MS
• Molly Megan Goss
• Holly Ann Gosselin, PT, DPT
• Noah Gosselin, DC
• Peter J Gould, DO
• Kalyani P Govindaraju, MD
• James R Gowen, M.ED., BCBA
• Christine Grabiec, LCMHC
• Pamela Graesser, LCMHC

• Clinical Social Worker in Nashua, NH
• Providers in Nashua, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.