Goedkoop, Sharon L

Goedkoop, Sharon L is an sole proprietor health care provider with primary practice located at 2458 Christian St Suite 214, White River Junction VT 05001-9855. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goedkoop, Sharon L can be contacted via phone (802) 359-2553.

Contact Information

Primary practice address
2458 Christian St Suite 214 White River Junction VT 05001-9855
Phone: (802) 359-2553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 0890001132 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0890001132 Vermont

Profile Details

NPI number 1013257484
LBN Legal business name Goedkoop, Sharon L
Credentials LICSW, PLLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2013
Last updated Oct 23rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013257484 NPPES
Vermont MEDICAID 1021546
Vermont Other 1013257484
Vermont MEDICAID 3086010
Vermont Other 4583988

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