Individual provider Active NPI

Lori J Gooding, MSW, MSOM

  • Acupuncturist
  • Watertown, NY
National Provider Identifier
1952454415
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
003378-1 Issued in NY
Practice address
117 Sherman St
Watertown, NY 13601-3209
Phone
(315) 405-2323
NPI assigned
Jan 19, 2007
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R055161-1 NY
Acupuncturist 171100000X 003378-1 NY Primary

Addresses

Primary practice location

117 Sherman St
Watertown, NY 13601-3209

Mailing address

PO Box 533
Watertown, NY 13601-0533
Phone (315) 405-2323

Other names 1

  • Lori J Woodfork Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080709000315 NY Practitioner - Clinical Social Worker 7012089949 Practice locations: Watertown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 Sherman St
Watertown, NY 13601-3209
Phone (215) 405-2323

PO Box
Suite 533
Watertown, NY 13601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R055161-1NYMDClinical Social Worker
003378-1NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1952454415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010533",
            "telephone_number": "315-405-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SHERMAN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013209",
            "telephone_number": "315-405-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODING",
        "first_name": "LORI",
        "middle_name": "J",
        "credential": "MSW, MSOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055161-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003378-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "WOODFORK",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.