JACQUELINE SHEA GOODALL LICSW - NPI 1801256730 - Social Worker in Burlington, VT

Q: What is Jacqueline Goodall's NPI number?

The NPI number for Jacqueline Goodall is 1801256730. It was assigned to this individual provider in the NPPES registry on March 4, 2016. The provider is also known as Jacquie Goodall.

Q: What is Jacqueline Goodall's specialty?

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

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About Jacqueline Shea Goodall Licsw NPPES

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

JACQUELINE SHEA GOODALL LICSW (NPI 1801256730) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (089-0111089) and active in the NPI registry since March 2016. She maintains a secondary practice location in Waterbury.

NPPES Registry Identity

NPI1801256730

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJACQUELINE SHEA GOODALLCredential: LICSW

Location Address1138 PINE STBurlington, VT 05401-5353

Mailing Address208 Flynn Ave, Suite 3jBurlington, VT 05401-5429

Phone(802) 488-6600

Sole ProprietorYes

Enumeration DateMarch 4, 2016

Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1801256730 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 VT · 089-0111089

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.

1138 PINE ST, Burlington, VT 05401

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Other Names 1

Professional Name (2)Jacquie Goodall

Secondary Practice Location 1

Location 167 Fairground RdWaterbury, VT 05676-8903 · Phone (978) 831-3196

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

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