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OLIVIA ANN GOFORTH LCSW
NPI 1871009563
Social Worker - Clinical in Bristol, CT

Active since December 18, 2017PECOS EnrolledAccepts Medicare Assignment
49 RENEE ST, BRISTOL, CT 06010(203) 726-6811 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2019, Dec 18, 2017 (2 updates tracked since 2017).

About Olivia Ann Goforth Lcsw NPPES

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

OLIVIA ANN GOFORTH LCSW (NPI 1871009563) is an individual clinical provider in Bristol, Connecticut, licensed in Connecticut (10636) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2016).

NPPES Registry Identity

NPI1871009563
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameOLIVIA ANN GOFORTHCredential: LCSW
Location Address49 RENEE STBristol, CT 06010-5580
Mailing Address49 Renee StBristol, CT 06010-5580 · (203) 726-6811
Phone(203) 726-6811
Sole ProprietorNo
Medical School CMSFordham University School Of MedicineGraduated 2016
Enumeration DateDecember 18, 2017
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1871009563 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 CT · 10636
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.
49 RENEE ST, Bristol, CT 06010
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Other Identifiers 1

Medicaid008089787CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olivia Ann Goforth Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981934734
PECOS Enrollment IDI20190923000832
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

RESTORING HOPE THERAPEUTIC SERVICES
Social Worker (Clinical)
49 RENEE ST
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 498-3861

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 Olivia Goforth's NPI number?

The NPI number for Olivia Goforth is 1871009563. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Olivia Goforth located?

Olivia Goforth practices at 49 Renee St, Bristol, CT 06010. The listed phone number is (203) 726-6811.

What is Olivia Goforth's specialty?

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

Is Olivia Goforth enrolled in Medicare?

Yes. Olivia Goforth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Olivia Goforth accept?

Health plans from Providence Health Plan list Olivia Goforth 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 Olivia Goforth was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.