Jaime Rae Goffin, LCSW, CADCI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29449 Issued in ID

Practice address

493 Eastland Dr
Twin Falls, ID 83301-7441

Phone

(208) 316-7103

Fax

(208) 735-2482

NPI assigned

Jan 3, 2008

Last updated

Jul 18, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1821273251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WOODRIDGE DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018156",
            "telephone_number": "208-316-7103",
            "fax_number": "208-549-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017441",
            "telephone_number": "208-316-7103",
            "fax_number": "208-735-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFFIN",
        "first_name": "JAIME",
        "middle_name": "RAE",
        "credential": "LCSW, CADCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "29449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry B Glassett, RPH
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• Melissa Goeckner
• Geoffroi Andre Golay, D.C.
• Jacqueline Golay, LMSW
• Bruce E. Gollub, M.D.
• Samantha Gonzales, FNP-C
• Erin Goodfellow, NURSE PRACTITIONER

• Clinical Social Worker in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.