Organization Active NPI

Kate Goodell

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1891115689
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15631 Issued in MD
Legal business name
KATE GOODELL
Practice address
4810 Crowson Ave
Baltimore, MD 21212-4409
Phone
(443) 540-9112
NPI assigned
Apr 21, 2014
Last updated
Apr 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Kate GoodellNPI 1417261447
Title
Clinical Therapist
Phone
(443) 540-9112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 15631 MD Primary

Addresses

Primary practice location

4810 Crowson Ave
Baltimore, MD 21212-4409

Mailing address

4810 Crowson Ave
Baltimore, MD 21212-4409
Phone (443) 540-9112

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1891115689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 CROWSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124409",
            "telephone_number": "443-540-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 CROWSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124409",
            "telephone_number": "443-540-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE GOODELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "GOODELL",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "443-540-9112"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.