Healthcare Provider Details

I. General information

NPI: 1669343513
Provider Name (Legal Business Name): CATHERINE GOETSCHIUS LCSW
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 PARK AVE
WORCESTER MA
01609-1953
US

IV. Provider business mailing address

84 ACTON ST
MAYNARD MA
01754-1224
US

V. Phone/Fax

Practice location:
  • Phone: 774-614-9899
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW2120600
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: