Individual
JENNIFER HASSELL-GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7300 E INDIANA ST STE 103, EVANSVILLE, IN 47715-7448
(216) 468-5000
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(216) 468-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34007453
IN
1041C0700X
Clinical Social Worker
Primary
34007453A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
839090020
MEDICARE
IN
Enumeration date
12/07/2015
Last updated
04/30/2026
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