Dr Carolyn Ann Goosby, DMIN, MDIV, LCSW is a
Social Worker - Clinical based in Oak Lawn, Illinois. Dr Carolyn Ann Goosby is licensed to practice in Illinois (license number ) and her current practice location is
9701 S 49th Ave, Oak Lawn, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 507-3770.
NPI number for Dr Carolyn Ann Goosby is 1023614864 and her current mailing address is Dr Carolyn A Goosby, 8108a Concord Lane, Justice, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023614864.
Healthcare Provider's Profile
Full Name | Dr Carolyn Ann Goosby |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 9701 S 49th Ave, Oak Lawn, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023614864
- Provider Enumeration Date: 12/08/2020
- Last Update Date: 04/30/2024
Medical Identifiers
Medical identifiers for Dr Carolyn Ann Goosby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023614864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carolyn Ann Goosby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Carolyn Ann Goosby, DMIN, MDIV, LCSW Dr Carolyn A Goosby, 8108a Concord Lane, Justice, IL 60458 Ph: (773) 507-3770 | Dr Carolyn Ann Goosby, DMIN, MDIV, LCSW 9701 S 49th Ave, Oak Lawn, IL 60453-3005 Ph: (773) 507-3770 |
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