Staci Lyn Gofton (NPI# 1770654360, PAC ID# 3971523549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1770654360 |
| PAC ID by PECOS | 3971523549 |
| Professional Enrollment ID | I20051128000516 |
| Full Name | Staci Lyn Gofton |
| Organization Legal Name | ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES |
| Address |
3285 122nd Ave Allegan MI 49010-9511 |
| Phone Number | 6166736617 |
| Gender | F |
| Credential | CSW |
| Graduation Year | 2002 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1153317607 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3285 122nd Ave, Allegan, MI 49010-9511 | 6166736617 | ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES |
| Organization Legal Name | ALLEGAN COUNTY COMMUNITY MENTAL HEALTH SERVICES |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Schuyler | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| David L Morse | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave Po Drawer, Allegan, MI 49010-9511 |
| Tara Poore | Clinical Social Worker | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Amy Mcgowan | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Dennis F Heinonen | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Jenna Mccarthy | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Fred D Boothby | Nurse Practitioner | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Jessica M Hutta | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Richard M Tooker | Psychiatry | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Beverly Kluzak | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Street Address |
3285 122ND AVE |
| City | ALLEGAN |
| State | MI |
| Zip | 49010-9511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Schuyler | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Amy Mcgowan | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Dennis F Heinonen | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Jenna Mccarthy | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Jessica M Hutta | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Beverly Kluzak | Clinical Social Worker | Allegan County Community Mental Health Services | 3285 122nd Ave, Allegan, MI 49010-9511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Poore | Clinical Social Worker | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Fred D Boothby | Nurse Practitioner | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Richard M Tooker | Psychiatry | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Sarah Chachulski | Clinical Social Worker | Allegan County Community Mental Health Services | Po Box, Allegan, MI 49010-0130 |
| Rodney D Dean | Clinical Social Worker | Allegan County Community Mental Health Services | Po Box, Suite 130, Allegan, MI 49010-0130 |
| Dale L Wittkop | Optometry | Allegan Eyecare PC | 123 Locust St, Allegan, MI 49010-1301 |
| Amanda M Hodge | Optometry | Allegan Eyecare PC | 123 Locust St, Allegan, MI 49010-1301 |
| Paul Hodge | Optometry | Allegan Eyecare PC | 123 Locust St, Allegan, MI 49010-1301 |
| Nathan Zziwa Zziwambazza | Emergency Medicine | Epmg Southern Michigan Pllc | 555 Linn St, Allegan, MI 49010-1524 |
| Luke C Saski | Emergency Medicine | Epmg Southern Michigan Pllc | 555 Linn St, Allegan, MI 49010-1524 |
| Find all physicians in zip 49010 | |||
| City | ALLEGAN |
| Zip Code | 49010 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ALLEGAN + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Staci Lyn Gofton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.