SARAH GOODELL (LMSW) – Clinical Social Worker, NPI 1053777623

SARAH GOODELL (LMSW) is a healthcare provider. based in Brooklyn, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801099866 (MI). The NPI Number for SARAH GOODELL (LMSW) is 1053777623

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SARAH GOODELL (LMSW)
NPI
1053777623
Phone
(517) 550-5423
Address
176 SOUTH MAIN ST.
Enumeration Date
12 January 2016
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5175505423
Graduation Year
2016 (10 years ago)
PAC ID
3173858446
Group Practice PAC ID
6103261748
Professional Enrollment ID
I20190709000773
Address ID
MI492300279BR176XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for SARAH GOODELL (LMSW)

  • 176 SOUTH MAIN ST.

    BROOKLYN, MI 49230

    Phone: (517) 550-5423

    Type: Location

  • 142 E Maumee St Ste 3

    Adrian, MI 492212735

    Phone: (517) 263-5810

    Type: Location

  • Eureka Road, Taylor, Wayne County, Michigan, 48174, United States

    SUITE A

    TAYLOR, MI 481804835

    Phone: (734) 955-3550

    Fax: (734) 955-3562

    Type: Mailing

  • 1200 N WEST AVE

    JACKSON, MI 492022179

    Phone: (517) 789-1200

    Fax: (517) 789-1276

    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: 2019-07-09

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
I20190709000773IClinical Social WorkerMITBD

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 49230)

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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: 6103261748View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I use this page to confirm SARAH GOODELL (LMSW)'s NPI?
Yes. SARAH GOODELL (LMSW) is listed with NPI 1053777623 in the public NPI dataset.
Does CMS list SARAH GOODELL (LMSW) as active?
Yes — SARAH GOODELL (LMSW) is active in the NPI listing used on this page.
What is SARAH GOODELL (LMSW)'s specialty?
The listing groups SARAH GOODELL (LMSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is SARAH GOODELL (LMSW) based?
SARAH GOODELL (LMSW) is tied to Brooklyn, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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