Kathy A Goodrich, MSW LCSW ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R029236 Issued in NY

Practice address

1598 Penfield Rd
Rochester, NY 14625-2252

Phone

(585) 385-6030

Fax

(585) 385-6168

NPI assigned

Mar 6, 2007

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

Other names 1

• Miss Kathy A Vandenbergh Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Agape Counseling Associates Inc

  • Clinical Social Worker
  • Penfield, NY
  • NPI 1174657712
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912036625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 PENFIELD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252252",
            "telephone_number": "585-385-6030",
            "fax_number": "585-385-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 PENFIELD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252252",
            "telephone_number": "585-385-6030",
            "fax_number": "585-385-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "KATHY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "VANDENBERGH",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "MSW LCSWR ACSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheryl Lynnaie Goodman, L.P.N
• Elliott M Goodness, LMSW
• Erin Taylor Goodness, LMSW
• William Lloyd Goodness III, RD
• Taylor Goodney, PA-C
• David Julian Goodsell
• Lydia Goodsell
• Alexandra Goodson, LPN
• Marthenia Goodson, LPN
• Samantha Goodson, LMSW

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.