MS. STEPHANIE JANINE GODDARD (LCSW-C) – School Social Worker, NPI 1184861189

MS. STEPHANIE JANINE GODDARD (LCSW-C) is a healthcare provider. based in Elkton, Maryland. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW-C. They hold a License No. G06694 (MD). The NPI Number for MS. STEPHANIE JANINE GODDARD (LCSW-C) is 1184861189

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MS. STEPHANIE JANINE GODDARD (LCSW-C)
NPI
1184861189
Phone
(410) 996-5105
Address
200 Booth St
Enumeration Date
13 January 2009
Last Update Date
12 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4107805203
Graduation Year
1995 (31 years ago)
PAC ID
1456531185
Group Practice PAC ID
3476777947
Professional Enrollment ID
I20110211000496
Address ID
MD212374157RO9627XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,276 CLINICAL SOCIAL WORKER in MD

Provider Addresses for MS. STEPHANIE JANINE GODDARD (LCSW-C)

  • 200 Booth St

    Elkton, MD 219215657

    Phone: (410) 996-5105

    Fax: (410) 996-5197

    Type: Location

  • 8967, Yellow Brick Road, Canterbury, Rossville, Baltimore County, Maryland, 21237, United States

    ROSEDALE, MD 212372303

    Phone: (410) 780-5203

    Fax: (410) 780-5203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110211000496IClinical Social WorkerMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21921)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476777947View full group profile
NameSpecialtyState
Nurse PractitionerMD
Clinical Social WorkerMD
Clinical Social WorkerMD
Mental Health CounselorVA
Clinical Social WorkerMD
-MD
Mental Health CounselorMD
Clinical Social WorkerMD
Clinical Social WorkerMD
Clinical Social WorkerMD

Reviews

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Frequently asked questions

Is there an official ID for MS. STEPHANIE JANINE GODDARD (LCSW-C) in U.S. healthcare records?
The official identifier for MS. STEPHANIE JANINE GODDARD (LCSW-C) is NPI 1184861189.
Is there an active status for MS. STEPHANIE JANINE GODDARD (LCSW-C)?
For scheduling context, MS. STEPHANIE JANINE GODDARD (LCSW-C) is shown as active in the registry.
What area of care is associated with MS. STEPHANIE JANINE GODDARD (LCSW-C)?
MS. STEPHANIE JANINE GODDARD (LCSW-C)'s record emphasizes School Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. STEPHANIE JANINE GODDARD (LCSW-C) located near Elkton?
MS. STEPHANIE JANINE GODDARD (LCSW-C) currently maps to Elkton, Maryland in this extract.
Can I trust this NPI listing for MS. STEPHANIE JANINE GODDARD (LCSW-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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