Active NPI
Janice Mary Goodison, LCSW
- Social Worker
- Tooele, UT
National Provider Identifier
1871552992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5171789-3502
- Practice address
- 6563 Sky Heights Dr
Tooele, UT 84074-3097 - Phone
- (406) 499-2709
- NPI assigned
- Mar 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5171789-3502 | UT | Primary |
Addresses
Primary practice location
6563 Sky Heights Dr
Tooele, UT 84074-3097
Mailing address
6563 Sky Heights Dr
Tooele, UT 84074-3097
Phone (406) 499-2709
Other names 1
- Janice McCaffrey
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5171789-3502 | UT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Support Center | Past | Accepting new patients | |
| Family Support Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Salt Lake City, UT
- NPI 1730473786
-
- Mental Health Counselor
- Taylorsville, UT
- NPI 1912392762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1871552992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6563 SKY HEIGHTS DR",
"city": "TOOELE",
"state": "UT",
"postal_code": "840743097",
"telephone_number": "406-499-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6563 SKY HEIGHTS DR",
"city": "TOOELE",
"state": "UT",
"postal_code": "840743097",
"telephone_number": "406-499-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODISON",
"first_name": "JANICE",
"middle_name": "MARY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-18",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "5171789-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "MCCAFFREY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.