| Organization Name: | SHARON L. GOEDKOOP, LICSW |
| NPI Number: | 1942644216 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON L. GOEDKOOP (LICENSED SOCIAL WORKER) |
| Mailing Address: | 2458 Christian Street Suite 214 Wilder |
| State: | VT US |
| Postal Code: | 05088 |
| Phone Number: | 8023569393 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2013 |
| NPI Last Update Date: | 04/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 089.0001132 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |