Individual provider Active NPI

Megan M Goodbar Calderon, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1932655172
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
257861 Issued in KY
Practice address
700 Chestnut St
Bowling Green, KY 42101-2218
Phone
(270) 904-0055
Fax
(270) 904-5110
NPI assigned
Aug 28, 2016
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 257861 KY Primary

Addresses

Primary practice location

700 Chestnut St
Bowling Green, KY 42101-2218

Mailing address

700 Chestnut St
Bowling Green, KY 42101-2218
Phone (270) 904-0055

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
LHC, LLC Clinical CurrentSince Feb 2, 2025 Accepting new patients
Lighthouse Counseling LLC Clinical CurrentSince Feb 27, 2025 Accepting new patients

Locations

700 Chestnut St
Bowling Green, KY 42101
Phone (270) 847-0529

Organizations & group practices 2

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1932655172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHESTNUT ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012218",
            "telephone_number": "270-904-0055",
            "fax_number": "270-904-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHESTNUT ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012218",
            "telephone_number": "270-904-0055",
            "fax_number": "270-904-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "MEGAN",
        "middle_name": "M GOODBAR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.