Terry Goodspeed, is a
Social Worker - Clinical based in Independence, Kansas. Terry Goodspeed is licensed to practice in Kansas (license number 1903) and his current practice location is
3751 W Main St, Independence, Kansas. He can be reached at his office (for appointments etc.) via phone at
(620) 331-1748.
NPI number for Terry Goodspeed is 1427150309 and his current mailing address is Po Box 688, Independence, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427150309.
Healthcare Provider's Profile
| Full Name | Terry Goodspeed |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 3751 W Main St, Independence, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427150309
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 12/01/2014
Medical Identifiers
Medical identifiers for Terry Goodspeed such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427150309 | NPI | - | NPPES |
| 100322170B | Medicaid | KS | |
| 069573 | Other | KS | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAC 300 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1903 (Kansas) | 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. Terry Goodspeed 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 |
|---|
Terry Goodspeed,
Po Box 688,
Independence, KS 67301-0688
Ph: Not Available | Terry Goodspeed,
3751 W Main St,
Independence, KS 67301-8446
Ph: (620) 331-1748 |
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