Sharon L. Goedkoop, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0001132 Issued in VT

Legal business name

SHARON L. GOEDKOOP, PLLC

Practice address

2458 Christian Street
Suite 214
Wilder, VT 05088

Phone

(802) 356-9393

NPI assigned

Apr 17, 2013

Last updated

Feb 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon L. Goedkoop, LICSWNPI 1013257484

Title

Licensed Social Worker

Phone

(802) 356-9393

Specialties & licenses 1

Addresses

Other names 1

• Sharon L. Goedkoop, LICSW Other name

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 2

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.

• Sharon L Goedkoop, LICSW, PLLC

  • Clinical Social Worker
  • White River Junction, VT
  • NPI 1013257484
  Medicare reassignment NPD Authorized official
• Nancy B Birge, MSW, LICSW

  • Clinical Social Worker
  • White River Junction, VT
  • NPI 1275874802
  NPD (past)

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1942644216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842",
            "city": "WILDER",
            "state": "VT",
            "postal_code": "050880842",
            "telephone_number": "802-356-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 CHRISTIAN STREET",
            "address_2": "SUITE 214",
            "city": "WILDER",
            "state": "VT",
            "postal_code": "05088",
            "telephone_number": "802-356-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON L. GOEDKOOP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "GOEDKOOP",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "LICENSED SOCIAL WORKER",
        "authorized_official_telephone_number": "802-356-9393",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0001132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon L. Goedkoop, LICSW",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sharon L. Goedkoop, LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Paul Roden, LCMHC
• Santosh Sangarasivam, LCMHC
• Katherine Irene Sawyer
• Richard Arleigh Schlein, D.D.S.
• George J Schuetz, DDS; MS
• Richard A Sullivan, HSD
• Erin Swasey, LICSW
• Emily Zanleoni

• Clinical Social Worker in Wilder, VT
• Providers in Wilder, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.