Individual provider Active NPI

Rebecca Goldsmith, LMSW

  • Social Worker
  • Jackson, MI
National Provider Identifier
1841915014
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801115406 Issued in MI
Practice address
2652 Spring Arbor Rd
Jackson, MI 49203-3604
Phone
(517) 798-6712
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801115406 MI Primary

Addresses

Primary practice location

2652 Spring Arbor Rd
Jackson, MI 49203-3604

Mailing address

626 Obrien Rd
Jackson, MI 49201-8981

Other practice location 1

2017 4th St
Jackson, MI 49203-4572
Phone (517) 581-4886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230829001643 MI Practitioner - Clinical Social Worker 2860855574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2652 Spring Arbor Rd
Jackson, MI 49203-3604
Phone (517) 798-6712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801115406MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Goldsmith LLC Social Worker CurrentSince Aug 7, 2023 Accepting new patients

Locations

2652 Spring Arbor Rd
Jackson, MI 49203
Phone (313) 883-9031

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1841915014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 OBRIEN RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033604",
            "telephone_number": "517-798-6712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2017 4th St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492034572",
            "country_code": "US",
            "telephone_number": "517-581-4886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "REBECCA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801115406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.