Individual provider · Type 1 NPI
Samantha Ann Goudy, LCSW
Clinical Social Worker · Fort Collins, CO
Practice location
2133 Krisron Rd Unit C-205
Fort Collins, CO 80525-6765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 26916-C (AR) |
| Clinical Social Worker Primary | 1041C0700X | CSW.09927364 (CO) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
Another provider at this address
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About NPI 1205697208
Samantha Ann Goudy, LCSW's National Provider Identifier is 1205697208, issued on Jan 17, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Collins, CO. The record was last updated on May 19, 2025.