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AMY PARK-GOEDDEKE,LMSW, L.L.C
NPI 1124681341
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pontiac, MI

Active since April 15, 2019
1200 N TELEGRAPH RD DEPT 32, PONTIAC, MI 48341(248) 858-1210 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amy Park-goeddeke,lmsw, L.l.c NPPES

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

AMY PARK-GOEDDEKE,LMSW, L.L.C (NPI 1124681341) is a healthcare organization registered as a mental health (including community mental health center) in Pontiac, Michigan and active in the NPI registry since April 2019. The organization lists Amy Park-goeddeke, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1124681341
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameAMY PARK-GOEDDEKE,LMSW, L.L.C
Location Address1200 N TELEGRAPH RD DEPT 32Pontiac, MI 48341-1032
Mailing Address13335 15 Mile Rd # 258Sterling Heights, MI 48312-4271 · (248) 921-7649
Phone(248) 858-1210
Organization SubpartNo
Authorized OfficialAmy Park-goeddekeSocial Worker · (248) 921-7649
Enumeration DateApril 15, 2019
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1124681341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1200 N TELEGRAPH RD DEPT 32, Pontiac, MI 48341
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

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

JOSHUA TYLER NEWBURG LLMSW
Social Worker (Clinical)
1200 N TELEGRAPH RD DEPT 32
PONTIAC, MI 48341
Oakland County (800) 395-3223
MARCIA LYNISE BALOGUN LPN
Licensed Practical Nurse
1200 N TELEGRAPH RD DEPT 32
PONTIAC, MI 48341
Oakland County (800) 395-3223

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 Amy Park-Goeddeke,lmsw, L.L.C's NPI number?

The NPI number for Amy Park-Goeddeke,lmsw, L.L.C is 1124681341. It was assigned to this organization in the NPPES registry on April 15, 2019.

Where is Amy Park-Goeddeke,lmsw, L.L.C located?

Amy Park-Goeddeke,lmsw, L.L.C is located at 1200 N Telegraph Rd Dept 32, Pontiac, MI 48341. The listed phone number is (248) 858-1210.

What is Amy Park-Goeddeke,lmsw, L.L.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Amy Park-Goeddeke,lmsw, L.L.C accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Amy Park-Goeddeke,lmsw, L.L.C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Park-Goeddeke,lmsw, L.L.C was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.