Active NPI
Elizabeth Llyn Goode, MSW
- Social Worker
- Corning, NY
National Provider Identifier
1821213638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 067826
- Practice address
- 280 Princeton Avenue Ext
Corning, NY 14830-1524 - Phone
- (607) 962-3148
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 067826 | NY | Primary |
Addresses
Primary practice location
280 Princeton Avenue Ext
Corning, NY 14830-1524
Mailing address
734 W Church St
Elmira, NY 14905-2430
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 |
|---|---|---|---|
| 067826 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821213638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 W CHURCH ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149052430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 PRINCETON AVENUE EXT",
"city": "CORNING",
"state": "NY",
"postal_code": "148301524",
"telephone_number": "607-962-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "ELIZABETH",
"middle_name": "LLYN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "067826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corning, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.