ICEY DAWN GOODRICH
NPI 1720676059
Community Health Worker in Fairmont, WV

Active since January 03, 2021
105 MAPLEWOOD DR, FAIRMONT, WV 26554(304) 366-8779 Get Directions Write a Review

NPPES record last updated: January 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Icey Dawn Goodrich NPPES

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

ICEY DAWN GOODRICH (NPI 1720676059) is an individual community health worker in Fairmont, West Virginia and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1720676059
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameICEY DAWN GOODRICH
Location Address105 MAPLEWOOD DRFairmont, WV 26554-2147
Mailing Address7 Hunting Hill DrMannington, WV 26582-8142 · (304) 508-2156
Sole ProprietorNo
Enumeration DateJanuary 3, 2021
NPPES CertifiedJanuary 3, 2021
NPI 1720676059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
105 MAPLEWOOD DR, Fairmont, WV 26554

Other Providers at the Same Location NPPES 11

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

Technician (Personal Care Attendant)
105 MAPLEWOOD DR
FAIRMONT, WV 26554
Case Manager/Care Coordinator
105 MAPLEWOOD DR
FAIRMONT, WV 26554
Technician (Personal Care Attendant)
105 MAPLEWOOD DR
FAIRMONT, WV 26554
Technician (Personal Care Attendant)
105 MAPLEWOOD DR
FAIRMONT, WV 26554
Home Health
105 MAPLEWOOD DR
FAIRMONT, WV 26554
Home Health
105 MAPLEWOOD DR
FAIRMONT, WV 26554
Home Health Aide
105 MAPLEWOOD DR
FAIRMONT, WV 26554
Home Health
105 MAPLEWOOD DR
FAIRMONT, WV 26554

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 Icey Goodrich's NPI number?

The NPI number for Icey Goodrich is 1720676059. It was assigned to this individual provider in the NPPES registry on January 3, 2021.

Where is Icey Goodrich located?

Icey Goodrich practices at 105 Maplewood Dr, Fairmont, WV 26554. The listed phone number is (304) 366-8779.

What is Icey Goodrich's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Icey Goodrich was last updated on January 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.