MARY GOLDBECK (NPI# 1265913958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265913958 |
| Entity Type | Individual |
| Full Name | MARY GOLDBECK |
| Credential | LCSW |
| Practice Address |
1775 Newman Rd Mt Pleasant WI 53406 |
| Mailing Address |
1700 S Beaumont Ave Kansasville WI 53139-9715 |
| Practice Telephone | 8848880355 |
| Practice Fax Number | 8442224005 |
| Mailing Telephone | 2629308824 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8997-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1775 NEWMAN RD |
| City | MT PLEASANT |
| State | WI |
| Zip Code | 53406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| 1669859005 | Angela Peters | Registered Nurse | 901 S Greenbay Rd, Mount Pleasant, WI 53406 | 2015-05-06 |
| Find all providers in zip 53406 | ||||
| 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 |
|---|---|---|---|---|
| 1356956650 | Alive & Well Counseling, LLC | Social Worker | 753 Johnnie Dodds Blvd Ste 100, Mt Pleasant, SC 29464-3054 | 2020-09-14 |
| 1265041313 | Jordan Watkins | Social Worker | 753 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3054 | 2020-07-24 |
| 1619586948 | Ashlyn Bradley | Social Worker | 753 Johnnie Dodds Blvd Ste 102, Mt Pleasant, SC 29464-3054 | 2020-07-22 |
| 1336795533 | New Mind Counseling Services, LLC | Social Worker | 207 N Franklin St, Mt Pleasant, MI 48858-2303 | 2019-08-13 |
| 1023415320 | Michelle Homa | Social Worker | 211 S Crapo St Ste N, Mt Pleasant, MI 48858-2961 | 2014-12-02 |
| 1568893931 | Lia Hillie | Social Worker | 860 Lowcountry Blvd, Mt Pleasant, SC 29464-3091 | 2013-12-10 |
| 1497076475 | Alexis Tanenbaum Mansson | Social Worker | 728 Inlet Dr, Mt Pleasant, SC 29464-4905 | 2010-06-14 |
| 1144552241 | Brandi Suzette Denson | Social Worker | 106 S Jefferson Ave Ste 108, Mt Pleasant, TX 75455-4404 | 2010-02-01 |
| 1821282831 | Carla Scott Greene | Social Worker | 551 Commonwealth Dr, Mt Pleasant, SC 29466-8313 | 2007-09-03 |
| 1326247883 | Frankie Lynn Smith | Social Worker | 1470 Ben Sawyer Blvd, Ste. 7, Mt Pleasant, SC 29464-4591 | 2007-07-15 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 53406 |
Please comment or provide details below to improve the information on MARY GOLDBECK.
| 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.