Maria Teresa Goudie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR020939-1 Issued in NY

Practice address

240 W End Ave
Gaines (1-a)
New York, NY 10023-3613

Phone

(212) 868-2735

NPI assigned

Mar 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. M. Teresa Goudie Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881726321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 W 43RD ST",
            "address_2": "43-D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366319",
            "telephone_number": "212-868-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W END AVE",
            "address_2": "GAINES (1-A)",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233613",
            "telephone_number": "212-868-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDIE",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR020939-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "GOUDIE",
            "middle_name": "TERESA",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anita Leorah Gotz, DMD
• Andrew H Gotzis, M.D.,PSHYCIATRY
• Zane Gouda
• Tania Goudas, LMSW
• Eric Goudie, M.D.
• Eleonora Goudis, M.D.
• Thomas Hamilton Gouge, M.D.
• Andrew E. Gougelmann, B.C.O.
• David Gougelmann, B.C.O
• Keren Gouin

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.