Amy E Goode, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC14655 Issued in ME

Practice address

1 Mallett Dr
Topsham, ME 04086-1313

Phone

(207) 272-0744

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amy Goode LCSW LLC

  • Adult Mental Health Clinic/Center
  • Bangor, ME
  • NPI 1588355713
  Medicare reassignment NPD Authorized official
• Robert Cameron LCSW, LLC

  • Mental Health Counselor
  • Freeport, ME
  • NPI 1871375113
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1992396857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MALLETT DR",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861313",
            "telephone_number": "207-272-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MALLETT DR",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861313",
            "telephone_number": "207-272-0744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 US Route 1 Ste 23",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "ME",
            "postal_code": "040327022",
            "country_code": "US",
            "telephone_number": "207-272-0744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODE",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC14655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518331032",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Garner
• Tricia E Garrett, MS
• Sarah Geis, DPT
• Bernie Glover
• Sirena A Goddard, PSS
• Alyssa Goodwin, MD
• Greater Brunswick Physical Therapy P.a.
• April Griffin, LMT
• Sarah Grinder, OT
• Paul Guerette

• Clinical Social Worker in Topsham, ME
• Providers in Topsham, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.