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CASEY GODERUM
NPI 1679277099
Rehabilitation Practitioner in Santa Rosa, CA

Active since March 29, 2023
634 PRESSLEY ST, SANTA ROSA, CA 95404(707) 573-6955 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 1, 2024, Mar 29, 2023 (2 updates tracked since 2023).

About Casey Goderum NPPES

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

CASEY GODERUM (NPI 1679277099) is an individual rehabilitation practitioner in Santa Rosa, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1679277099
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameCASEY GODERUM
Location Address634 PRESSLEY STSanta Rosa, CA 95404-5526
Mailing Address420 E Cotati AveCotati, CA 94931-4442 · (707) 795-4336
Phone(707) 573-6955
Sole ProprietorYes
Enumeration DateMarch 29, 2023
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1679277099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
634 PRESSLEY ST, Santa Rosa, CA 95404
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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.

ROSALINDA MARIE CASTELLANOS
Counselor
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
KAITLYN WEBER
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
MS. SHERI MICHELLE DABNEY
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 570-3645
KATHERINE KELLIE SLATER
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
MEGAN MICHELLE HAMILTON
Community Health Worker
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
MAYA MARIA NIETO
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
KRISTINA A SICKENGER
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
OLIVIA LILES
Day Training/Habilitation Specialist
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955

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 Casey Goderum's NPI number?

The NPI number for Casey Goderum is 1679277099. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Casey Goderum located?

Casey Goderum practices at 634 Pressley St, Santa Rosa, CA 95404. The listed phone number is (707) 573-6955.

What is Casey Goderum's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Casey Goderum was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.