Provider Demographics
NPI:1144316316
Name:GOODHUE, NANCY S (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:S
Last Name:GOODHUE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 MAIN ST
Mailing Address - Street 2:#200
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2801
Mailing Address - Country:US
Mailing Address - Phone:303-668-2444
Mailing Address - Fax:303-666-1082
Practice Address - Street 1:1400 MAIN ST
Practice Address - Street 2:#200
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2801
Practice Address - Country:US
Practice Address - Phone:303-668-2444
Practice Address - Fax:303-666-1082
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO991522171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator