Marie A Goines, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60798301 Issued in WA

Practice address

23531 58TH Ave S Apt Bb101
Kent, WA 98032-3755

Phone

(206) 849-4530

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mindful Therapy Group PC

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1871116970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23531 58TH AVE S APT BB101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980323755",
            "telephone_number": "206-849-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23531 58TH AVE S APT BB101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980323755",
            "telephone_number": "206-849-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINES",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60798301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marie_goines@valleymed.org",
            "affiliation": "N",
            "address_1": "23531 58th Ave S Apt Bb101",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980323755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glover Empowermentoring
• Go Enterprises, Inc.
• Christopher Alyn Goalwin, O.D.
• Johanah M Gobina
• Liliana Godinez
• Priscilla Gollen, MOT
• Valentina A Golovanov, LMHCA
• Yelena A Golub, MA60597652
• Sachinie Gomes
• Melissa Giselle Gonzaga

• Clinical Social Worker in Kent, WA
• Providers in Kent, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.

Verify at the official NPI Registry.