Mr Terry L Goldade, LICSW in Williston, ND - Social Worker

Mr Terry L Goldade, LICSW is a Social Worker - Clinical based in Williston, North Dakota. Mr Terry L Goldade is licensed to practice in North Dakota (license number 840) and his current practice location is 316 2nd Ave W, Williston, North Dakota. He can be reached at his office (for appointments etc.) via phone at (701) 774-4600.

NPI number for Mr Terry L Goldade is 1033202114 and his current mailing address is 519 10th Ave W, Williston, North Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033202114.

Contact Information

	Mr Terry L Goldade, LICSW
	316 2nd Ave W, Williston, ND 58801
	(701) 774-4600
	(701) 774-4620

Healthcare Provider's Profile

Full Name	Mr Terry L Goldade
Gender	Male
Speciality	Social Worker - Clinical
Location	316 2nd Ave W, Williston, North Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1033202114
Provider Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Terry L Goldade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033202114	NPI	-	NPPES
54516	Medicaid	ND
26013	Other		BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	840 (North Dakota)	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. Mr Terry L Goldade 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
Mr Terry L Goldade, LICSW 519 10th Ave W, Williston, ND 58801 Ph: (701) 774-8215	Mr Terry L Goldade, LICSW 316 2nd Ave W, Williston, ND 58801 Ph: (701) 774-4600

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Social Worker in Williston, ND

Linda L Larson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 316 2nd Ave W, Williston, ND 55880 Phone: 701-774-4600 Fax: 701-774-4620
Katie B Shannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2224 1st Ave W Ste 4, Williston, ND 58801 Phone: 701-572-3335
Theresa E Scully, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 Main St; Unit 220, Williston, ND 58801 Phone: 701-570-4602
Charlotte O'keefe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 14th St W, Suite 290, Williston, ND 58801 Phone: 701-334-6242 Fax: 701-713-3299
Miss Donna Peterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 14th St Sw, Suite 250, Williston, ND 58801 Phone: 701-334-6242
Ms. Charell G Schillo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 316 2nd Ave W, Williston, ND 58801 Phone: 701-774-4600 Fax: 701-774-4620

Mr Terry L Goldade, LICSW - Clinical Social Worker in Williston, ND