Individual provider Active NPI

Tekeisha Goggins

  • Clinical Social Worker
  • Rainbow City, AL
National Provider Identifier
1891200903
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4090C Issued in AL
Practice address
105 Church St
Rainbow City, AL 35906-6242
Phone
(256) 452-4058
Fax
(256) 782-0054
NPI assigned
Dec 12, 2017
Last updated
Dec 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4090C AL Primary

Addresses

Primary practice location

105 Church St
Rainbow City, AL 35906-6242

Mailing address

105 Church St
Rainbow City, AL 35906-6242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Aug 5, 2018 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients

Locations

1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

64 Giles St
Heflin, AL 36264
Phone (256) 463-2021

110 Spring St N
Talladega, AL 35160
Phone (256) 315-1697

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1891200903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHURCH ST",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHURCH ST",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066242",
            "telephone_number": "256-452-4058",
            "fax_number": "256-782-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGGINS",
        "first_name": "TEKEISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4090C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

Verify at the official NPI Registry.