SHAWNTEE DESARAY GOFF (NPI# 1750777850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750777850 |
| Entity Type | Individual |
| Full Name | SHAWNTEE DESARAY GOFF |
| Credential | LMSW |
| Practice Address |
4232 Heritage Trace Pkwy Fort Worth TX 76244-5375 |
| Mailing Address |
2915 S Burleson Blvd Burleson TX 76028-1878 |
| Practice Telephone | 8174473001 |
| Mailing Telephone | 8174473001 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
60432 | TX | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | 60432 | TX | Other Service Providers |
| Street Address |
4232 HERITAGE TRACE PKWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-5375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932254679 | Envision Imaging of North Fort Worth | Radiology | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2007-01-24 |
| 1609419134 | Jessica Renae Carr | Nurse Practitioner | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2019-10-28 |
| 1144704552 | Dominique Dacus | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-09-20 |
| 1528542594 | Erika Rodriguez Lozano | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-09-17 |
| 1962983767 | Michelle Gay Mcmillan | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-08-28 |
| 1588166755 | Laurence Saputra | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-03-05 |
| 1356859185 | Tricia Tillman | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-01-15 |
| 1023528775 | Cathleen Ricks | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2017-10-09 |
| 1275905937 | Deann Harrison | Nurse Practitioner | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2015-10-21 |
| 1346639085 | Constance Canada | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2015-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559127 | Dayton Gibbs | Case Manager/Care Coordinator | 4500 Pecos St, Fort Worth, TX 76119-5166 | 2020-02-07 |
| 1760014005 | Kimberly Nicole Cunningham | Case Manager/Care Coordinator | 1409 Pepperidge Ln, Fort Worth, TX 76131-5205 | 2020-02-05 |
| 1669030367 | Children & Family Services | Case Manager/Care Coordinator | 10129 South Race Street, Fort Worth, TX 76140 | 2019-05-29 |
| 1710543780 | Trisha Britton | Case Manager/Care Coordinator | 9837 Stripling Dr, Fort Worth, TX 76244-5883 | 2019-05-15 |
| 1538622600 | Johnathan Wilkerson | Case Manager/Care Coordinator | 3832 Del Rio Dr, Fort Worth, TX 76133-7106 | 2019-04-07 |
| 1437505955 | Stephen Paul Conway | Case Manager/Care Coordinator | 1307 8th Ave Ste 311, Fort Worth, TX 76104-4140 | 2016-05-13 |
| 1417326711 | Guidance Health Care | Case Manager/Care Coordinator | 6713 Bridge St #213, Fort Worth, TX 76112-0817 | 2015-09-17 |
| 1437530680 | Ronelle Boyd | Case Manager/Care Coordinator | 7109 Canisius Ct, Fort Worth, TX 76120-1383 | 2015-06-13 |
| 1316327588 | Dennis Miller II | Case Manager/Care Coordinator | 6731 Bridge St # 213, Fort Worth, TX 76112-0817 | 2015-06-03 |
| 1972900686 | Tiffany Tynes | Case Manager/Care Coordinator | 4629 Riverpark Dr, Fort Worth, TX 76137-1835 | 2014-11-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
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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.