ELAINE R GOODRICH (NPI# 1285659557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285659557 |
| Entity Type | Individual |
| Full Name | ELAINE R GOODRICH |
| Credential | LCSW |
| Practice Address |
22a Ossipee Trail West Standish ME 04084 |
| Mailing Address |
Po Box 824 Standish ME 04084-0824 |
| Practice Telephone | 2076422098 |
| Practice Fax Number | 2076428976 |
| Mailing Telephone | 2076422098 |
| Mailing Fax Number | 2076428976 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC1140 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM PIN | 003850 | 01 |
| ME | CIGNA PIN | 1036508 | 01 |
| ME | VALUE OPTIONS PIN | 149250 (MHS) | 01 |
| ME | AETNA BEHAVIORAL HEALTH | 5298100 | 01 |
| ME | TRICARE AND HARVARD PILGR | 004846 | 01 |
| Street Address |
22A OSSIPEE TRAIL WEST |
| City | STANDISH |
| State | ME |
| Zip Code | 04084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902298870 | Christine Cutler | Dental Hygienist | 52 Dow Road, Standish, ME 04084 | 2015-03-02 |
| 1164772950 | Matthew Morin | Pharmacist | 73 Colonial Dr., Standish, ME 04084 | 2012-09-19 |
| 1710283361 | Standish Denture Center | Dental Laboratory | 7 Gretchen Lane, Standish, ME 04084 | 2011-01-31 |
| 1073741765 | Brenda Jones | In Home Supportive Care | 18 Kerri Falls Drive, Standish, ME 04084 | 2009-07-01 |
| 1679746812 | Standish Denture Center,llc | Clinic/Center | 7 Gretchen Ln, Standish, ME 04084 | 2008-04-09 |
| 1700068343 | Arthur Chapman IIi Od Pa | Optometrist | 40 Northeast Road, Rt 35, Standish, ME 04084 | 2007-12-05 |
| 1851592026 | William George Housley | Dentist | 43 Ossipee Trail East, Standish, ME 04084 | 2007-05-29 |
| 1265584015 | Standish Family Practice | Family Medicine | 36 Ossipee Trail West, Standish, ME 04084 | 2007-01-18 |
| 1780755116 | Arthur Chapman IIi | Optometrist | Rt 35, 40 Northeast Rd, Standish, ME 04084 | 2006-11-09 |
| 1821106212 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 71 Colonial Drive, Standish, ME 04084 | 2006-08-27 |
| Find all providers in zip 04084 | ||||
| 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 |
|---|---|---|---|---|
| 1447622899 | Lisa King | Social Worker | 129 Hearthside Rd, Standish, ME 04084-5262 | 2015-10-26 |
| 1982740189 | Jessica Pulver | Social Worker | 1 Northeast Rd, Standish, ME 04084-6422 | 2007-01-29 |
| 1538248802 | Sherrie L St. Thomas-simoneau | Social Worker | 700 Saco Rd, Standish, ME 04084-6240 | 2006-11-06 |
| 1154435543 | Marlene M Wolber | Social Worker | 1000 W Cedar St, Standish, MI 48658-9421 | 2006-08-19 |
| 1720080047 | Cheryl Berg | Social Worker | 5 Orchard Rd, Standish, ME 04084-6418 | 2005-06-01 |
| 1295376408 | Heidi Franklin | Social Worker | 700 Saco Rd, Standish, ME 04084-6240 | 2019-09-30 |
| 1700448289 | Rebecca Ellen Lobodzinski | Social Worker | 1000 W Cedar St, Standish, MI 48658-9421 | 2019-07-03 |
| 1548760358 | Theresa Lerma | Social Worker | 1000 W Cedar St, Standish, MI 48658-9421 | 2018-02-19 |
| 1437690419 | James Spegel | Social Worker | 1000 W Cedar St, Standish, MI 48658 | 2017-03-10 |
| 1336691799 | Casey Lupo | Social Worker | 1000 W Cedar St, Standish, MI 48658-9421 | 2016-11-01 |
| Find all providers in STANDISH | ||||
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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.