Active NPI
Erin Goodlett
- Clinical Social Worker
- New Albany, IN
National Provider Identifier
1962868539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 169381957
- Practice address
- 702 E Market St
New Albany, IN 47150-2916 - Phone
- (812) 949-7305
- NPI assigned
- Jan 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 169381957 | IN | Primary |
Addresses
Primary practice location
702 E Market St
New Albany, IN 47150-2916
Mailing address
702 E Market St
New Albany, IN 47150-2916
Phone (812) 949-7305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169381957 | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1962868539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 E MARKET ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502916",
"telephone_number": "812-949-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 E MARKET ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502916",
"telephone_number": "812-949-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODLETT",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-12",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "169381957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.