Individual provider Active NPI

Susan Yvonne Goldman, LCSW-C

  • Social Worker
  • Chestertown, MD
National Provider Identifier
1932571387
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
21141 Issued in MD
Practice address
300 Scheeler Rd
Chestertown, MD 21620-1014
Phone
(410) 778-5783
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 21141 MD Primary

Addresses

Primary practice location

300 Scheeler Rd
Chestertown, MD 21620-1014

Mailing address

300 Scheeler Rd
Chestertown, MD 21620-1014
Phone (410) 778-5783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20191107001896 MD Practitioner - Clinical Social Worker 1153753405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kent County Health DepartmentGroup PAC ID 9032139241, 5 clinicians

Practice addresses (Care Compare)

300 Scheeler Rd
Chestertown, MD 21620-1014
Phone 41077857833237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kent County Health Department CurrentSince Sep 16, 2019 Accepting new patients

Locations

300 Scheeler Rd
Chestertown, MD 21620
Phone (410) 778-5783

125 S Lynchburg St
Chestertown, MD 21620
Phone (410) 778-1350

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1932571387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SCHEELER RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201014",
            "telephone_number": "410-778-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SCHEELER RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201014",
            "telephone_number": "410-778-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "SUSAN",
        "middle_name": "YVONNE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "21141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.