MS. TAMARA L GOLDRICK (NPI# 1366073496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366073496 |
| Entity Type | Individual |
| Full Name | MS. TAMARA L GOLDRICK |
| Credential | LCSW |
| Practice Address |
710 Broadridge Dr Jackson MO 63755-3042 |
| Mailing Address |
3422 Glenview Dr Cape Girardeau MO 63701-3446 |
| Practice Telephone | 8883656271 |
| Mailing Telephone | 5732709335 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2018024000 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 2018024000 | 01 |
| Street Address |
710 BROADRIDGE DR |
| City | JACKSON |
| State | MO |
| Zip Code | 63755-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457342289 | Buckeye J, LLC | Skilled Nursing Facility | 710 Broadridge Dr, Jackson, MO 63755-3042 | 2005-11-01 |
| 1689029753 | Sarah Fyfe | Occupational Therapy Assistant | 710 Broadridge Dr, Jackson, MO 63755-3042 | 2016-04-26 |
| 1730533738 | Irene Lim Lo Suy Comstock | Occupational Therapist | 710 Broadridge Dr, Jackson, MO 63755-3042 | 2016-04-16 |
| 1538470521 | Judy L Hart | Occupational Therapy Assistant | 710 Broadridge Dr, Jackson, MO 63755-3042 | 2010-06-24 |
| 1447430202 | Richel Pingkian | Occupational Therapist | 710 Broadridge Dr, Jackson, MO 63755 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1215438585 | The Villas of Jackson LLC | Assisted Living Facility | 670 Broadridge, Jackson, MO 63755 | 2018-02-22 |
| 1346637865 | Vitality Clinic | Health Educator | 111 N. Missouri Street, Jackson, MO 63755 | 2015-04-22 |
| 1144569567 | Rock Care In Home Services, LLC | Nursing Care | 204 S Union Ave, Jackson, MO 63755 | 2013-02-05 |
| 1447506381 | Morgan Allyce Strand | Optometrist | 2954 E. Jackson Blvd, Jackson, MO 63755 | 2012-07-30 |
| 1154689321 | Benjamin Gail Goodier | Dentist | 3100 East Jackson Blvd., Jackson, MO 63755 | 2012-04-25 |
| 1912278987 | Guardian Angels Homecare, LLC | Nursing Care | 1335 Old Cape Rd., Suite F, Jackson, MO 63755 | 2012-01-23 |
| 1528357829 | Sydney Nicole Cheek | Technician, Other | 107 Cottonwood St., Jackson, MO 63755 | 2011-04-07 |
| 1215162920 | Troy L Bell Od & Associates, PC | Optometrist | 2594 E Jackson Blvd, Jackson, MO 63755 | 2009-05-26 |
| 1932398021 | Immediate Healthcare, Inc. | General Practice | 1508 Edgemont Blvd, Perryville, MO 63755 | 2007-10-15 |
| Find all providers in zip 63755 | ||||
| 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 |
|---|---|---|---|---|
| 1013518430 | Millie Mitchell | Social Worker | 321 Woodland Dr, Jackson, AL 36545-2438 | 2020-11-03 |
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1760098487 | Dominique Yvette Thomatis-williams | Social Worker | 4 Creekwood Pl, Jackson, MS 39211-2929 | 2020-09-17 |
| 1417567215 | Angela Edward | Social Worker | 413 Seymour Ave, Jackson, MI 49202-3562 | 2020-08-06 |
| 1952926677 | Kayleen Marie Shaw | Social Worker | 4152 County Road 436, Jackson, MO 63755-8411 | 2020-06-09 |
| 1538798327 | Willie Patrice Jenkins | Social Worker | 108 Parks Rd, Jackson, MS 39212-9626 | 2020-04-03 |
| 1184251555 | Yasmeen Patricia Eichelberger | Social Worker | 510 George St, Ste 201, Jackson, MS 39202-3027 | 2020-03-25 |
| 1902431612 | Harriet Phyllis Kazansky | Social Worker | 4 Hazeltine Ln, Jackson, NJ 08527-4045 | 2020-03-03 |
| 1750915229 | Kacey Pepin | Social Worker | 3027 Wildwood Ave, Jackson, MI 49202-3938 | 2020-02-24 |
| 1831729433 | Rachel Kornilakis | Social Worker | 729 W Michigan Ave # 200, Jackson, MI 49201-1920 | 2020-01-22 |
| Find all providers in JACKSON | ||||
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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.