Individual provider Active NPI

Jeffrey Goad, LSW

  • Social Worker
  • Rocky River, OH
National Provider Identifier
1841860038
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2106154 Issued in OH
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113003731 OH Practitioner - Clinical Social Worker 8820522824 Reassigns benefits to 1 organization

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
Cleveland Health and Wellness CenterGroup PAC ID 1254729387, 4 clinicians

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

LicenseStateTypeSpecialty
S.2106154OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Health and Wellness Center CurrentSince Oct 8, 2024 Accepting new patients
Collindale Therapy LLC Clinical CurrentSince Nov 18, 2025 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.

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

Verify at the official NPI Registry.