MRS. SHAELES MARIE GORETZKA LMSW
NPI 1124530688
Social Worker - Clinical in Kalamazoo, MI

Q: What is Shaeles Goretzka's NPI number?

The NPI number for Shaeles Goretzka is 1124530688. It was assigned to this individual provider in the NPPES registry on October 24, 2017. The provider is also known as Shae Goretzka.

Q: What is Shaeles Goretzka's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shaeles Goretzka was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 24, 2017

1608 LAKE ST, KALAMAZOO, MI 49001(269) 270-2367(269) 344-0285 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, Oct 24, 2017 (2 updates tracked since 2017).

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About Mrs. Shaeles Marie Goretzka Lmsw NPPES

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

MRS. SHAELES MARIE GORETZKA LMSW (NPI 1124530688) is an individual clinical provider in Kalamazoo, Michigan, licensed in Michigan (6801097263) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1124530688

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. SHAELES MARIE GORETZKACredential: LMSW

Location Address1608 LAKE STKalamazoo, MI 49001-3170

Mailing Address5212 Torrey Pines DrKalamazoo, MI 49009-3839 · (269) 352-0082

Phone(269) 270-2367

Fax(269) 344-0285

Sole ProprietorNo

Enumeration DateOctober 24, 2017

Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1124530688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801097263

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.

1608 LAKE ST, Kalamazoo, MI 49001

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Other Names 1

Other Name (5)Shae Goretzka

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.

MS. SALLI F THORNTON LLMSW

Social Worker (Clinical)