MS. NICHOLE ANN GODDARD I (NPI# 1194837690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194837690 |
| Entity Type | Individual |
| Full Name | MS. NICHOLE ANN GODDARD I |
| Credential | L.L.M.S.W. |
| Practice Address |
1406 8th St Port Huron MI 48060-5804 |
| Mailing Address |
3106 Conger St Port Huron MI 48060-2275 |
| Practice Telephone | 8109871258 |
| Practice Fax Number | 8109873503 |
| Mailing Telephone | 8109871258 |
| Mailing Fax Number | 8109873503 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
740100 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CLEARVIEW | 740100 | 01 |
| Street Address |
1406 8TH ST |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326517137 | Janene Desiree Young | Case Manager/Care Coordinator | 1406 8th St, Port Huron, MI 48060-5804 | 2018-11-21 |
| 1104325919 | Brittany Marie Drouillard | Peer Specialist | 1406 8th St, Port Huron, MI 48060 | 2018-02-07 |
| 1912213711 | Felecia D. Kirkland | Counselor | 1406 8th St, Port Huron, MI 48060-5804 | 2010-08-31 |
| 1336451913 | Reva D. Mitchell | Counselor | 1406 8th St, Port Huron, MI 48060-5804 | 2010-07-12 |
| 1891937561 | Amber Rose Decoster | Counselor | 1406 8th St, Port Huron, MI 48060-5804 | 2009-03-27 |
| 1164600656 | Melissa Lynn Kolman | Counselor | 1406 8th St, Port Huron, MI 48060-5804 | 2008-02-06 |
| 1063625432 | Annqunetta Marie Mundy | Counselor | 1406 8th St, Port Huron, MI 48060-5804 | 2007-05-08 |
| 1891828158 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 1406 8th St, Port Huron, MI 48060-5804 | 2007-03-14 |
| 1568518934 | Sherie Heinbuck | Counselor | 1406 8th St, Port Huron, MI 48060-5804 | 2007-01-26 |
| 1760586390 | Ramona Dolores Portis | Counselor | 1406 8th St, Port Huron, MI 48060-5804 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487489 | Debra Lynn Wine | Social Worker | 309 Huron Ave, Port Huron, MI 48060-3869 | 2020-05-01 |
| 1932572476 | Paula Leigh Fine | Social Worker | 3325 Dove Rd, Port Huron, MI 48060-4747 | 2015-11-05 |
| 1821367962 | Julie Ann Jowett-lee | Social Worker | 309 Huron Ave Ste B, Port Huron, MI 48060-3869 | 2011-12-19 |
| 1982795845 | James Thomas King Sr. | Social Worker | 500 10th St, Port Huron, MI 48060-4477 | 2006-09-27 |
| 1750481289 | Laurie Goetze | Social Worker | 1101 Military St, Port Huron, MI 48060-5418 | 2006-09-24 |
| 1356350136 | Rebecca Hycki | Social Worker | 1011 Military St, Port Huron, MI 48060-5416 | 2006-08-07 |
| 1649288879 | Michelle Lynn Walkowski | Social Worker | 1170 Michigan Rd, Port Huron, MI 48060-4658 | 2006-08-03 |
| 1033152459 | Lynne M Anderson | Social Worker | 520 Superior St, Port Huron, MI 48060-3838 | 2006-06-14 |
| 1164465084 | Kelle S Wood | Social Worker | 1423 Pine Grove Avenue, Port Huron, MI 48060 | 2006-06-14 |
| 1164463626 | Anne D Switchulis | Social Worker | 230 Huron Ave, Port Huron, MI 48060-3822 | 2006-06-08 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on MS. NICHOLE ANN GODDARD I.
| 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.