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NPI · 1609411024 · NPPES-sourced

Mr. Carl Goodholm LCSW

ActiveClinical Social Worker
NPI Number
1609411024
Type 1 · Individual
Taxonomy Code
1041C0700X
Contact
(904) 953-2000
License FL · SW9760
Last Updated
About 5 years ago (Oct 2020)
Enumerated 2019-11-08
Primary practice addressFL · 32224-1865
4500 San Pablo Rd SJacksonville, FL 32224-1865
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About this NPIWhat this record shows.

NPI 1609411024 is registered to Mr. Carl Goodholm LCSW, a Clinical Social Worker practising at 4500 San Pablo Rd S in Jacksonville, Florida. Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Carl Goodholm LCSW has been enumerated in the National Provider Identifier (NPI) registry since 2019.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2019-11-08
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Carl Goodholm LCSW accepts. To confirm in-network status with your specific health plan, contact Mr. Carl Goodholm LCSW directly at (904) 953-2000.

Frequently asked

Yes. NPI 1609411024 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (904) 953-2000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Carl Goodholm LCSW is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1041C0700X
Last updated2020-10
Enumerated2019-11-08
StatusActive
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4 records · same addressOther providers at this location.

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Same specialtyOther Clinical Social Worker providers in Florida.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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