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MISS EMMALYNN ROSE GODDARD SC.61541753
NPI 1104544774
Social Worker - Clinical in Provo, UT

Active since August 18, 2022
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Emmalynn Rose Goddard Sc.61541753 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS EMMALYNN ROSE GODDARD SC.61541753 (NPI 1104544774) is an individual clinical provider in Provo, Utah, licensed in Washington (61541753) and active in the NPI registry since August 2022. She maintains a secondary practice location in Auburn.

NPPES Registry Identity

NPI1104544774
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS EMMALYNN ROSE GODDARDCredential: SC.61541753
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address1025 S 3rd StRenton, WA 98057-2765 · (206) 624-6477
Phone(801) 373-4760
Sole ProprietorNo
Enumeration DateAugust 18, 2022
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1104544774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · 61541753
Definition
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
750 N FREEDOM BLVD, Provo, UT 84601
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Secondary Practice Location 1

Location 11345 22nd St NEAuburn, WA 98002-3442 · Phone (253) 833-5908

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZA RACHELLE GEDGE PH.D., LP
Psychologist (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-0639
WASATCH MENTAL HEALTH
Clinic/Center (Adolescent and Children Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
JUSTINE CADAYONG EGGLESTON
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
SARAH FARIA
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
MEGAN NICHOLS
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
VICTORIA RYALS
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
KAMERYA HANOHANO
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
ALLISON RAMIREZ
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmalynn Goddard's NPI number?

The NPI number for Emmalynn Goddard is 1104544774. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Emmalynn Goddard located?

Emmalynn Goddard practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Emmalynn Goddard's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Emmalynn Goddard was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.