Erin Ann Goodfellow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089215 Issued in NY

Practice address

43 New Scotland Ave # MC7
Albany, NY 12208-3412

Phone

(518) 262-6696

Fax

(518) 262-2624

NPI assigned

Jun 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1992364103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 ROUTE 146 STE 101",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120653239",
            "telephone_number": "518-373-3800",
            "fax_number": "518-373-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE # MC7",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-6696",
            "fax_number": "518-262-2624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 Hoosick St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802450",
            "country_code": "US",
            "telephone_number": "518-272-2097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Patroon Creek Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122065014",
            "country_code": "US",
            "telephone_number": "518-489-0044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Riverfront Ctr",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120104620",
            "country_code": "US",
            "telephone_number": "518-843-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Crossing Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120654172",
            "country_code": "US",
            "telephone_number": "518-831-4434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "69 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125342907",
            "country_code": "US",
            "telephone_number": "518-822-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODFELLOW",
        "first_name": "ERIN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0892001",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gonzalez, RPH.
• Rafael Gonzalez Jr.
• Sara Gonzalez, PTA
• Melissa S Goodemote, PMHNP
• Kristina Kay Goodermote
• Aylah Goodfriend
• David Scott Goodman
• Grace Goodman, RN
• Jaime Goodman, C.PED
• Kelley Goodman, L.M.S.W

• Clinical Social Worker in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.