Active NPI
Jeffrey Goad, LSW
- Social Worker
- Rocky River, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2106154
- Practice address
- 20525 Detroit Rd Ste 8
Rocky River, OH 44116-2444 - Phone
- (216) 236-4266
- NPI assigned
- Jun 29, 2021
- Last updated
- Jul 1, 2021
- Sex
- Male
- 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 | S.2106154 | OH | Primary |
| Clinical Social Worker | 1041C0700X | S.2106154 | OH |
Addresses
Primary practice location
20525 Detroit Rd Ste 8
Rocky River, OH 44116-2444
Mailing address
1283 Donald Ave
Lakewood, OH 44107-2805
Phone (646) 238-2724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Cleveland Chiropractic College - Kansas City, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20525 Detroit Rd
Suite 8
Rocky River, OH 44116-2444
Phone (216) 777-8834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2106154 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Health and Wellness Center | Current | Accepting new patients | |
| Collindale Therapy LLC | Clinical | Current | Accepting new patients |
Locations
21625 Chagrin Blvd
Ste 200
Beachwood, OH 44122
Phone (216) 407-4407
20525 Detroit Rd
Ste 8
Rocky River, OH 44116
Phone (216) 777-8834
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Rocky River, OH
- NPI 1013371962
-
- Clinical Social Worker
- Lakewood, OH
- NPI 1093675951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1841860038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1283 DONALD AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441072805",
"telephone_number": "646-238-2724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20525 DETROIT RD STE 8",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441162444",
"telephone_number": "216-236-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOAD",
"first_name": "JEFFREY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-29",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2106154",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.2106154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.