TINA MARIE GOESS (L.I.C.S.W.) – Clinical Social Worker, NPI 1669815643

TINA MARIE GOESS (L.I.C.S.W.) is a healthcare provider. based in Rosemount, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.I.C.S.W.. They hold a License No. 14534 (MN). The NPI Number for TINA MARIE GOESS (L.I.C.S.W.) is 1669815643

Main info

Female
Sole Proprietor
21 Years Of Experience
Name
TINA MARIE GOESS (L.I.C.S.W.)
NPI
1669815643
Phone
(612) 239-6262
Address
14100 AILESBURY AVE
Enumeration Date
9 April 2013
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122396262
Graduation Year
2005 (21 years ago)
PAC ID
7517107311
Professional Enrollment ID
I20130627000621
Address ID
MN550761621IN5878XPATH300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:13State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for TINA MARIE GOESS (L.I.C.S.W.)

  • 14100 AILESBURY AVE

    ROSEMOUNT, MN 550682958

    Phone: (612) 239-6262

    Type: Mailing

  • 5878 BLACKSHIRE PATH

    INVER GROVE HEIGHTS, MN 550761621

    Phone: (612) 239-6262

    Type: Location

  • 1424 VINCE TRL

    EAGAN, MN 551213100

    Phone: (612) 239-6262

    Type: Mailing

  • 5874 BLACKSHIRE PATH

    INVER GROVE HEIGHTS, MN 550761621

    Phone: (612) 239-6262

    Fax: (651) 774-9576

    Type: Location

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: 2013-06-27

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
I20130627000621IClinical Social WorkerMNTBD

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 55068)

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Reviews

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Frequently asked questions

What NPI should I save for TINA MARIE GOESS (L.I.C.S.W.)?
Save NPI 1669815643 if you need a stable reference for TINA MARIE GOESS (L.I.C.S.W.).
Is TINA MARIE GOESS (L.I.C.S.W.) active in the national directory?
TINA MARIE GOESS (L.I.C.S.W.)'s public NPI profile is in an active state.
What does TINA MARIE GOESS (L.I.C.S.W.) treat or focus on?
Patients typically see TINA MARIE GOESS (L.I.C.S.W.) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for TINA MARIE GOESS (L.I.C.S.W.)?
The page summarizes Rosemount, Minnesota for TINA MARIE GOESS (L.I.C.S.W.); expand the address list for detail.
How can I contact TINA MARIE GOESS (L.I.C.S.W.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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