Active NPI
Elizabeth T. Goodie, LCSW
- Clinical Social Worker
- Westbrook, ME
National Provider Identifier
1861615593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC4379
- Practice address
- 73 Reed St
Westbrook, ME 04092-3622 - Phone
- (207) 797-0032
- NPI assigned
- Apr 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC4379 | ME | Primary |
| Mental Health Counselor | 101YM0800X | LC 4379 | ME |
Addresses
Primary practice location
73 Reed St
Westbrook, ME 04092-3622
Mailing address
73 Reed St
Westbrook, ME 04092-3622
Phone (207) 797-0032
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 |
|---|---|---|---|
| LC4379 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC 4379 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1861615593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 REED ST",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923622",
"telephone_number": "207-797-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 REED ST",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923622",
"telephone_number": "207-797-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODIE",
"first_name": "ELIZABETH",
"middle_name": "T.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC4379",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "LC 4379",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.