Ms. Ann M Goedken
Counselor Clinical Social Worker
747b Crawford Dr
Cottage Grove
, Wisconsin 53527-9671
Ms. Ann M Goedken
Counselor Clinical Social Worker
747b Crawford Dr
Cottage Grove
, Wisconsin 53527-9671
(608) 839-1979
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About
Features
Specialties
- Counselor
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Ms. Ann M Goedken
- 747b Crawford Dr
- Cottage Grove, WI
- Zip : 53527-9671
- Phone : (608) 839-1979
Second Address
- Ms. Ann M Goedken
- 747b Crawford Dr
- Cottage Grove, WI
- Zip : 53527-9671
- Phone : (608) 839-1979
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Is Ms. Ann M Goedken a sole practitioner?
Is Ms. Ann M Goedken accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | 201-125 | WI |
| Y | 1041C0700X | Clinical Social Worker | 790-123 | WI |
National Provider Identifier
| NPI | 1003081084 |
|---|---|
| Provider Name | Ms. Ann M Goedken |
| First Address | Cottage Grove, WI 53527-9671 |
| Second Address | Cottage Grove, WI 53527-9671 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2008 |
| Last Update Date | 29/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 39669100 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.