Provider Demographics
NPI:1336965425
Name:GOIDEL, CARRINGTON (CSW)
Entity type:Individual
Prefix:MRS
First Name:CARRINGTON
Middle Name:
Last Name:GOIDEL
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:MRS
Other - First Name:CARRINGTON
Other - Middle Name:GOIDEL
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2151 PALMS DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3234
Mailing Address - Country:US
Mailing Address - Phone:859-433-1369
Mailing Address - Fax:
Practice Address - Street 1:2151 PALMS DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3234
Practice Address - Country:US
Practice Address - Phone:859-433-1369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-23
Last Update Date:2024-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2586991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical