MS. STEPHANIE JANINE GODDARD (NPI# 1184861189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184861189 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE JANINE GODDARD |
| Credential | LCSW-C |
| Practice Address |
8967 Yellow Brick Rd Rosedale MD 21237 |
| Mailing Address |
8967 Yellow Brick Rd Rosedale MD 21237-2303 |
| Practice Telephone | 4107805203 |
| Practice Fax Number | 4107805203 |
| Mailing Telephone | 4107805203 |
| Mailing Fax Number | 4107805203 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
G06694 | MD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Booth St, Elkton, MD 219215657 | 4109965105 | 4109965197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922665363 | Stephanie M Goddard | Behavior Technician | 17230 Jackson Creek Pkwy Ste 220, Monument, CO 80132-7304 | 2019-05-21 |
| 1104306646 | Stephanie Goddard | Physical Medicine & Rehabilitation | 323 E Town St, Columbus, OH 43215-4767 | 2018-08-15 |
| 1720579642 | Stephanie Ann Goddard | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2018-05-26 |
| 1437539095 | Stephanie Goddard | Massage Therapist | 1437 Kilauea Ave Ste 103, Hilo, HI 96720-4200 | 2015-06-08 |
| 1770554040 | Stephanie M. Goddard | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2006-01-27 |
| Street Address |
8967 YELLOW BRICK RD |
| City | ROSEDALE |
| State | MD |
| Zip Code | 21237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568571735 | Dori Lee Makowske | Counselor | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2006-08-30 |
| 1821559410 | Dorian M Clark | Social Worker | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2019-03-27 |
| 1982165460 | Deborah Maria Passos | Counselor | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2019-03-27 |
| 1255897526 | Rachael Workman | Social Worker | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2019-02-12 |
| 1629502786 | Jennifer Bambach | Nurse Practitioner | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2017-04-16 |
| 1467903120 | David Delamatre | Social Worker | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2016-10-18 |
| 1700335635 | Kristina Huber | Counselor | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2016-10-04 |
| 1972052850 | Bathsheba Gray | Counselor | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2016-10-03 |
| 1780133819 | Anna Youells-hwang | Social Worker | 8967 Yellow Brick Rd, Suites A & B, Rosedale, MD 21237-2303 | 2016-09-30 |
| 1588113864 | Katherine Todd | Social Worker | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457656654 | Taylor Kathleen Begley | Social Worker | 147 65 249th St, Rosedale, NY 11422 | 2011-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740818822 | Rebecca Pavic | Social Worker | 1201 Old Ocean City Rd, Salisbury, MD 21804-4560 | 2020-04-01 |
| 1023645801 | Stephanie Salamone | Social Worker | 1333 Upcot Ct, Capitol Heights, MD 20743-4229 | 2020-03-24 |
| 1720645435 | Steven Murray Mednick | Social Worker | 2500 E Northern Pkwy, Baltimore, MD 21214-1163 | 2019-05-29 |
| 1811554645 | Patricia A. Yeargin | Social Worker | 200 E. North Avenue - Room 105: Re-engagement Center, Baltimore, MD 21202-2120 | 2019-05-28 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1427515303 | Cynthia Mary Jackson | Social Worker | 602 Kahn Dr, Pikesville, MD 21208-5824 | 2019-02-27 |
| 1902363765 | Angelina Anthony Sills | Social Worker | 2815 Saint Lo Dr, Baltimore, MD 21213-1325 | 2019-02-27 |
| 1972060846 | Matthew Mcleod Rehak | Social Worker | 825 Providence Rd, Towson, MD 21286-2964 | 2019-02-26 |
| 1164989166 | Nicole Maloney | Social Worker | 10 Cockeys Mill Rd, Reisterstown, MD 21136-1283 | 2019-02-26 |
| 1437616679 | Roseline Imbolo Petro-siewe | Social Worker | 926 Greenmount Ave, Baltimore, MD 21202-4238 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.