Mary Goggins, LCSW is a
Social Worker - Clinical based in Waukesha, Wisconsin. Mary Goggins is licensed to practice in Wisconsin (license number 7947-123) and her current practice location is
2607 N Grandview Blvd, Suite 104, Waukesha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 402-7964.
NPI number for Mary Goggins is 1033463849 and her current mailing address is 2607 N Grandview Blvd, Suite 104, Waukesha, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033463849.
Healthcare Provider's Profile
Full Name | Mary Goggins |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2607 N Grandview Blvd, Waukesha, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033463849
- Provider Enumeration Date: 10/31/2012
- Last Update Date: 02/28/2014
Medical Identifiers
Medical identifiers for Mary Goggins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033463849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 15722-131 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 7947-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Goggins is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Goggins, LCSW 2607 N Grandview Blvd, Suite 104, Waukesha, WI 53188-1686 Ph: (262) 402-7964 | Mary Goggins, LCSW 2607 N Grandview Blvd, Suite 104, Waukesha, WI 53188-1686 Ph: (262) 402-7964 |
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